CMS Price Transparency Data

X-ray, pelvis

Facility: Holy Family Medical Center

Billing Code: 72170 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$76

about 0.7× the $107 Medicare rate · typically $27–$123

modeled estimate · not a bill or quote

What this hospital charges insurers

$111

Above the fair price

about $35 over the fair price · 1.0× Medicare

Medicare pays $107 Fair price $76 This hospital $111 Cash price $111 Hospital's list price $283

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $19 Priciest $111

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a X-ray, pelvis is about $76 (about 0.7× the $107 Medicare rate). Holy Family Medical Center charges insurers about $111, or about $111 in cash — above the fair price. Located in Des Plaines, IL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $76. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$111 - $239	104%
Blue Cross Blue Shieldmajor	$49 - $156	46%
Aetnamajor	$49 - $218	46%
Cignamajor	$111	104%
Humanamajor	$49 - $123	46%
Ambetter (Centene)	$181	169%
Devoted Health	$111	104%
Health Net	$134	125%
HealthPartners	$111 - $128	104%
Meridian	$51 - $117	48%
Molina	$51 - $167	48%
WellCare	$111	104%
+ 10 smaller / regional plans	$20 - $184

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 111), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72170.

Insurance Before you use insurance

Call your insurance company to confirm Holy Family Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 72170.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Holy Family Medical Center

Compare: X-ray, pelvis at other IL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.