CMS Price Transparency Data

X-ray, pelvis

Facility: Mercy Health Saint Mary's

Billing Code: 72170 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$28
about 0.3× the $107 Medicare rate · typically $11–$72
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $28 Hospital's list price $147

How we calculate the fair BaseRate →

What each insurance company pays

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

6 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 $5 - $276 5%
Blue Cross Blue Shieldmajor $5 - $102 5%
Aetnamajor $5 - $219 5%
Cignamajor $5 - $201 5%
Humanamajor $5 - $276 5%
Kaiser Permanentemajor $55 51%
Ambetter (Centene) $5 5%
AmeriHealth $10 - $210 9%
CareSource $180 169%
Clover Health $8 7%
Dean Health Plan $11 - $201 10%
GEHA $10 - $210 9%
Health Net $5 - $12 5%
HealthPartners $5 - $8 5%
MagnaCare $10 9%
Medical Mutual $10 - $68 9%
Meridian $5 - $8 5%
Molina $5 - $135 5%
MVP Health Care $11 - $201 10%
Oscar Health $11 - $133 10%
Paramount $5 - $201 5%
Presbyterian $5 - $8 5%
Priority Health $14 - $91 13%
Tufts Health Plan $5 - $8 5%
UniCare $10 - $210 9%
WellMed $8 7%
WellSense $5 5%
+ 429 smaller / regional plans $5 - $276
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 16 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Facility Profile & Credentials

  • Address: 200 Jefferson Avenue Se, Grand Rapids, MI 49503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals