CMS Price Transparency Data
X-ray, pelvis
Facility: Daviess Community Hospital
Billing Code: 72170 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$75
about 0.7× the $107 Medicare rate · typically $14–$164
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $75 Cash price $152 Hospital's list price $217
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 | $8 - $347 | 7% |
| Blue Cross Blue Shieldmajor | $8 - $328 | 7% |
| Aetnamajor | $8 - $413 | 7% |
| Humanamajor | $8 - $146 | 7% |
| CareSource | $14 - $21 | 13% |
| + 6 smaller / regional plans | $9 - $401 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Daviess Community Hospital
Compare: X-ray, pelvis at other IN hospitals
- Cameron Memorial Community Hospital Inc · Angola $24
- Memorial Hospital and Health Care Center · Jasper $25
- The Women's Hospital · Newburgh $25
- Deaconess Hospital Inc · Evansville $26
- Gibson General Hospital · Princeton $26
- Powers Health Rehabilitation Center · Crown Point $28
- Rehabilitation Hospital of Indiana Inc · Indianapolis $54
- St Catherine Hospital Inc · East Chicago $59
Insurance negotiated median for the same procedure, sorted lowest first.