CMS Price Transparency Data

X-ray, pelvis

Facility: Chelsea Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $18
  • Cash Discount Price: $164
  • vs. Medicare Baseline: 0.17x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Chelsea Hospital is $18. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.17x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$164

Average discount available for prompt cash payment at this facility.

Insurance Median
$18

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $164 (154%)
Insurance Median: $18 (17%)
Cash: $164 (154% of Medicare)
Ins. Median: $18 (17% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Albany County Correctional Facility $5 - $18 5%
Ambetter / Centene $5 - $18 5%
Amish Mennonite $5 - $18 5%
Ascension St. Vincent Public Safety Medical $5 - $18 5%
Bccp $5 - $18 5%
Blue Cross Blue Shield $5 - $102 5%
Bmc Healthnet $5 - $18 5%
Breast Grant-Connecticut $5 - $18 5%
Broward County Dept Of Health $5 - $18 5%
California Health And Wellness $5 - $18 5%
Cardinal Innovations Lme $5 - $18 5%
Care Connections Of Northern Iowa $5 - $18 5%
Care Oregon Ohp $5 - $18 5%
Cencal Health Plan $5 - $18 5%
Cenpatico $5 - $18 5%
Chhuny $5 - $18 5%
Childrens Comm Health Plan $5 - $18 5%
Childrens Medical Services Title 19 $5 - $18 5%
Cigna $5 - $179 5%
City Of Philadelphia $5 - $18 5%
Cmh Allegan County $5 - $18 5%
Cmh Ausable Valley $5 - $18 5%
Cmh Barry County $5 - $18 5%
Cmh Bay-Arenac County $5 - $18 5%
Cmh Berrien County $5 - $18 5%
Cmh Cass County $5 - $18 5%
Cmh Central Mi County $5 - $18 5%
Cmh Clinton-Eaton-Ingham County $5 - $18 5%
Cmh Detroit Wayne Integrated Health Network $5 - $253 5%
Cmh Genesee County $5 - $18 5%
Cmh Ionia County $5 - $18 5%
Cmh Jackson County/Lifeways $5 - $253 5%
Cmh Kalamazoo $5 - $18 5%
Cmh Kent County $5 - $18 5%
Cmh Lenawee County $5 - $253 5%
Cmh Livingston County $5 - $253 5%
Cmh Macomb $5 - $18 5%
Cmh Misc $5 - $253 5%
Cmh Monroe County $5 - $253 5%
Cmh Montcalm County $5 - $18 5%
Cmh Muskegon County $5 - $18 5%
Cmh Newaygo County $5 - $18 5%
Cmh North Country $5 - $18 5%
Cmh Northern Lakes County $5 - $18 5%
Cmh Oakland County $5 - $18 5%
Cmh Ottawa County $5 - $18 5%
Cmh Van Buren County $5 - $18 5%
Cmh Washtenaw County $5 - $253 5%
Cmh Wayne County/Carelink $5 - $18 5%
Cmh Wayne Cty/Com Liv Svcs $5 - $18 5%
Cmh West Mi County $5 - $18 5%
Community Benefit Health $5 - $18 5%
Community Care Behavorial Health $5 - $18 5%
Community Care Partners $5 - $18 5%
Community Health Choice $5 - $18 5%
Connections Csp $5 - $18 5%
County Coroner $5 - $18 5%
County Funding Generic $5 - $18 5%
Covid19 Hrsa Uninsured Testing And Treatment Fund $5 - $18 5%
Dean Wi Badgercare $5 - $18 5%
Delaware County Department Of Health $5 - $18 5%
Delaware First Health $5 - $18 5%
Delta Dental Nj $5 - $18 5%
Dph Tb Program $5 - $18 5%
Dscc $5 - $18 5%
Eastpointe Lme $5 - $18 5%
Family Health Network $5 - $18 5%
Freedom First Healthcare $5 - $18 5%
Fresno County Ccs $5 - $18 5%
Ghc Scw Wi Badgercare $5 - $18 5%
Harbor Health $5 - $18 5%
Health Safety Net $5 - $18 5%
Healthy Blue Ne $5 - $18 5%
Hennepin Health $5 - $18 5%
Humana $5 - $168 5%
Id County Ada $5 - $18 5%
Id County Canyon $5 - $18 5%
Id County Cat Fund $5 - $18 5%
Id County Other $5 - $18 5%
Id County Payette $5 - $18 5%
Idaho Dept Health And Wellfare $5 - $18 5%
Idaho Womens Health Check $5 - $18 5%
Indiana Breast Cervical Cancer $5 - $18 5%
Inland Empire Health Plan $5 - $18 5%
Intercommunity Health Ohp $5 - $18 5%
Iowa Total Care $5 - $18 5%
Jai Medical System $5 - $18 5%
Kern Family Health Plan $5 - $18 5%
Keystone First $5 - $18 5%
Keystone First Chip $5 - $18 5%
La Care Health Plan $5 - $18 5%
Lakeland Care Inc $5 - $18 5%
Managed Health Services - Indiana $5 - $18 5%
Maryland Breast & Cervical Program $5 - $18 5%
Maryland Healthy Smiles - Scion Dental $5 - $18 5%
Maryland Physicians Care $5 - $18 5%
Massachusetts Behavioral Health Partnership $5 - $18 5%
Mdwise $5 - $18 5%
Medi-Cal $5 - $18 5%
Medi-Cal Healthnet $5 - $18 5%
Medicaid / KanCare $5 - $60 5%
Medstar Dc Healthy Family $5 - $18 5%
Medstar Md Health Choice $5 - $18 5%
Mo Home State Health Plan $5 - $18 5%
Molina Centennial Care $5 - $18 5%
Nascentia Health Options $5 - $18 5%
Nebraska Total Care $5 - $18 5%
New York Cancer Services Program $5 - $18 5%
Nextlevel Health $5 - $18 5%
Oregon Screenwise $5 - $18 5%
Pace Of Southwest Michigan $5 - $27 5%
Paramount Advantage $5 - $18 5%
Parkland Community Health Plan $5 - $18 5%
Partners Behavioral Lme $5 - $18 5%
Peach State Healthplan $5 - $18 5%
Philadelphia County Funding $5 - $18 5%
Presbyterian Centennial Care $5 - $18 5%
Prestige Health Choice $5 - $18 5%
Priority Partners $5 - $18 5%
Robert F Sing Program $5 - $18 5%
Rx 340B Pass Along $5 - $18 5%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $5 - $18 5%
Rx Medi-Cal $5 - $18 5%
Rx Meridian Rx $5 - $18 5%
Ryan White Florida Mssrp $5 - $18 5%
Sandhills Center Lme $5 - $18 5%
Screening For Life $5 - $18 5%
St Joseph County Hlth Dpt $5 - $18 5%
Stephenson Cty Health $5 - $18 5%
Sunshine State Health Plan $5 - $18 5%
Superior Health $5 - $18 5%
Tenncare $5 - $18 5%
Texas Children'S Health Plan $5 - $18 5%
Trillium Community Ohp $5 - $18 5%
Tufts Health Public Plans $5 - $18 5%
UnitedHealthcare $5 - $170 5%
Vaya Health Lme $5 - $18 5%
Washtenaw Health Plan $5 - $18 5%
Wellsense Health Plan $5 - $18 5%
Wi Womens Wellness $5 - $18 5%
Aetna $8 - $119 7%
Align Senior Care $8 - $105 7%
Ally Align Care Adv $8 - $27 7%
American Health Advantage Of Idaho $8 - $27 7%
American Health Plan $8 - $27 7%
Asr Health Benefits $8 - $38 7%
Aurora Special Needs $8 - $27 7%
Blue Care Network Advantage $8 - $102 7%
Blue Shield - De (Highmark) Medciare Advantage $8 - $27 7%
Care Dimensions $8 - $27 7%
Care Improvement Plus $8 - $27 7%
Care Resources Pace $8 - $27 7%
Careplus Health Plans $8 - $27 7%
Cca Senior Care Options $8 - $27 7%
Central Valley Medical Services Corp Pace $8 - $27 7%
Champion Health Plan Mcr Advantage $8 - $27 7%
Clear Spring Health $8 - $27 7%
Clover Health $8 - $27 7%
Commonwealth Care Alliance $8 - $27 7%
Community Pace At Home $8 - $27 7%
Eddy Senior Care-Pace $8 - $27 7%
Eddy Seniorcare Pace $8 - $27 7%
Elementcare $8 - $27 7%
Evercare $8 - $27 7%
Everence $8 - $27 7%
Gateway Health Plan $8 - $27 7%
Genesys Pace Of Genesee County $8 - $27 7%
Georgia Health Advantage $8 - $27 7%
Gold Advantage $8 - $27 7%
Gpa Croell Redi Mix $8 - $27 7%
Hap $8 - $197 7%
Health America Advantra $8 - $27 7%
Highmark Health Options Dual Plan $8 - $27 7%
Hope Select Pace $8 - $27 7%
Horizon Nj Total Care $8 - $27 7%
Hudson Headwaters Pace $8 - $27 7%
Huron Valley Pace $8 - $27 7%
Innovative Integrated Health Community Plans $8 - $27 7%
Iowa Health Advantage $8 - $27 7%
Johns Hopkins Advantage Md $8 - $27 7%
Lasso Healthcare Msa $8 - $27 7%
Life St Marys Pace $8 - $27 7%
Lifecircles Pace $8 - $27 7%
Longevity Health Plan $8 - $27 7%
Martins Point Generations Advantage $8 - $27 7%
Mass General Brigham Mcr Adv $8 - $27 7%
Medicare (plans) $8 - $105 7%
Medipak Advantage $8 - $27 7%
Mercy Life $8 - $27 7%
Mercyone Cedar Valley $8 - $27 7%
Meridian Complete $8 - $27 7%
Michigan Complete Health $8 - $27 7%
Nascentia Health Plus $8 - $27 7%
New Centry Health Careplus $8 - $27 7%
Osu Prime Care Advantage $8 - $27 7%
Pace Cny $8 - $27 7%
Pace Iowa Immanuel Pathways $8 - $27 7%
Pace Southeast $8 - $27 7%
Pace-Trinity Health $8 - $27 7%
Peak Pace Solutions $8 - $27 7%
Perennial Advantage $8 - $27 7%
Preferred Care Partners $8 - $27 7%
Presbyterian Senior Plan $8 - $27 7%
Provider Partners Health Plan Of Illinois $8 - $27 7%
Provider Partners Health Plan Of Indiana $8 - $27 7%
Pruitthealth Premier $8 - $27 7%
Reliance Community Care Partners Care Resources Pace $8 - $27 7%
Rx Allwin $8 - $27 7%
Rx Grane Grnmedd $8 - $27 7%
Rx Retiree Rx Care $8 - $27 7%
Scan Health Plan Mcr Ipa Meritage Oon $8 - $27 7%
Secure Horizons Ma Pffs $8 - $27 7%
Serenity Pace $8 - $27 7%
Siouxland Pace $8 - $27 7%
Solis Health Plans $8 - $27 7%
Sunnyview-Pace Finance Dept $8 - $27 7%
Texan Plus $8 - $27 7%
The Health Plan $8 - $27 7%
Thome Pace $8 - $27 7%
Todays Options $8 - $27 7%
Tribute Health Plans $8 - $27 7%
Um Health Advantage $8 - $27 7%
Union Health Service $8 - $27 7%
Varipro $8 - $38 7%
Veterans Administration $8 - $28 7%
Welbe Health $8 - $27 7%
Wellmed $8 - $27 7%
Cca - Zing Health $9 - $111 8%
Longevity Ipa Of Michigan Llc Health Plan Isnp $10 - $118 9%
1199 National Benefit Fund $11 - $190 10%
Allied National Global Care $11 - $190 10%
Asrm - Reliance Standard Life Insurance $11 - $190 10%
Christian Care Ministry $11 - $190 10%
Dean Health $11 - $190 10%
Fallon Health $11 - $190 10%
Family Life Insurance Company $11 - $190 10%
International Benefit Administrators $11 - $190 10%
Lifetime Benefit Solutions $11 - $190 10%
Manhattan Life $11 - $190 10%
Molina Marketplace $11 - $136 10%
Multiplan $11 - $190 10%
Mvp $11 - $190 10%
Pai $11 - $190 10%
Pan-American Life $11 - $190 10%
Phcs $11 - $190 10%
Trinity Health Share $11 - $190 10%
Wellpath $11 - $162 10%
Andrie Inc $12 - $40 11%
East Greenbush Central School District $12 - $40 11%
Genex Wc $12 - $40 11%
Healthsmart Workers Comp $12 - $40 11%
Jag Source $12 - $40 11%
New York State Insurance Fund $12 - $40 11%
Njm Insurance Group $12 - $40 11%
Partners Direct Health - Brio $12 - $40 11%
Rx Heatlhcomp $12 - $40 11%
Rx Restat $12 - $40 11%
Rx Saif Opdp Wc $12 - $40 11%
Rx Worker'S Comp $12 - $40 11%
Wc Accident Fund $12 - $67 11%
Wc Ace $12 - $40 11%
Wc Acs Federal Employees $12 - $40 11%
Wc Acuity $12 - $40 11%
Wc Advantage $12 - $67 11%
Wc Aegis $12 - $40 11%
Wc Aig $12 - $67 11%
Wc Aims $12 - $40 11%
Wc Alaska National Ins $12 - $40 11%
Wc Align Network $12 - $40 11%
Wc Allied $12 - $67 11%
Wc Am Trust N America $12 - $40 11%
Wc American Claims Mgmt $12 - $40 11%
Wc Amerisure $12 - $67 11%
Wc Amtrust $12 - $67 11%
Wc Asu Risk Mgt $12 - $67 11%
Wc Benetech $12 - $40 11%
Wc Berkley Admin $12 - $67 11%
Wc Broadspire $12 - $67 11%
Wc Broward County $12 - $40 11%
Wc Bunch & Associates $12 - $67 11%
Wc California State Comp Ins $12 - $40 11%
Wc California State Ins Fund $12 - $40 11%
Wc Capitol Area Health Consortium $12 - $40 11%
Wc Ccmsi $12 - $67 11%
Wc Chartis $12 - $40 11%
Wc Chubb $12 - $40 11%
Wc Cirma $12 - $40 11%
Wc City Of Albany $12 - $40 11%
Wc City Of Sioux City $12 - $40 11%
Wc Claims Mgmt Inc $12 - $40 11%
Wc Cna $12 - $40 11%
Wc Comp One Admin C/O Manageability $12 - $40 11%
Wc Compone Admin $12 - $40 11%
Wc Corvel $12 - $40 11%
Wc Ct Healthcare Trust $12 - $40 11%
Wc Donegal Insurance Group $12 - $40 11%
Wc Emc Insurance Company $12 - $67 11%
Wc Employee Mutual $12 - $40 11%
Wc Enablecomp $12 - $40 11%
Wc Encore Health Network $12 - $40 11%
Wc Erie $12 - $40 11%
Wc Esis $12 - $67 11%
Wc Evolutions $12 - $40 11%
Wc Fcci $12 - $67 11%
Wc Fed Ex $12 - $40 11%
Wc Federal Black Lung $12 - $40 11%
Wc Federated $12 - $67 11%
Wc Finley Occupational Health $12 - $40 11%
Wc First Agency/Occunet $12 - $40 11%
Wc Ford Motor $12 - $40 11%
Wc Fresno Unified Emp $12 - $40 11%
Wc Gallagher Bassett $12 - $67 11%
Wc General Motors $12 - $40 11%
Wc Generic $12 - $40 11%
Wc Genex Care For Ohio $12 - $67 11%
Wc Great West Casualty $12 - $40 11%
Wc Guarantee Insurance $12 - $40 11%
Wc Guard Insurance Company $12 - $67 11%
Wc Hab $12 - $40 11%
Wc Hartford $12 - $67 11%
Wc Hastings $12 - $40 11%
Wc Health Management $12 - $40 11%
Wc Heritage Summit $12 - $40 11%
Wc Hireright $12 - $40 11%
Wc Horizon $12 - $40 11%
Wc Icw Group $12 - $40 11%
Wc Idaho State Ins Fund $12 - $40 11%
Wc Intercare Insurance $12 - $40 11%
Wc Intermountain $12 - $40 11%
Wc Johns Eastern $12 - $40 11%
Wc Kemberton $12 - $40 11%
Wc Key Ins & Benefit Solutions $12 - $40 11%
Wc Liberty Mutual $12 - $67 11%
Wc Mac Risk Management $12 - $40 11%
Wc Massachusetts $12 - $40 11%
Wc Mdia $12 - $40 11%
Wc Meadowbrook Claim $12 - $40 11%
Wc Medical Administrators $12 - $40 11%
Wc Meijers $12 - $67 11%
Wc Memic $12 - $40 11%
Wc Mercy Workcare $12 - $40 11%
Wc Michigan $12 - $67 11%
Wc Michigan Millers Mutual $12 - $40 11%
Wc Mitchell Frankenmuth $12 - $67 11%
Wc Mra $12 - $40 11%
Wc Nationwide $12 - $40 11%
Wc Nca Comp $12 - $40 11%
Wc New York $12 - $40 11%
Wc New York Special Funds $12 - $40 11%
Wc North American Rishces $12 - $40 11%
Wc Northeast Health $12 - $40 11%
Wc Notre Dame $12 - $40 11%
Wc Novanet $12 - $40 11%
Wc O'Hara Corp $12 - $40 11%
Wc Occ Health Allen $12 - $40 11%
Wc Ohio Bureau $12 - $40 11%
Wc One Call Medical $12 - $40 11%
Wc Paradigm $12 - $40 11%
Wc Peerless $12 - $40 11%
Wc Pma $12 - $67 11%
Wc Praxis Health Network $12 - $40 11%
Wc Price Chopper $12 - $40 11%
Wc Procura Management $12 - $40 11%
Wc Qualcare $12 - $40 11%
Wc Quiktrip $12 - $40 11%
Wc Reny Company $12 - $40 11%
Wc Rev Claims $12 - $40 11%
Wc Risico $12 - $40 11%
Wc Rural Mutual $12 - $40 11%
Wc Saif Oregon $12 - $40 11%
Wc Secura $12 - $40 11%
Wc Sedgwick $12 - $67 11%
Wc Sentry $12 - $67 11%
Wc Sheakley Unicomp $12 - $40 11%
Wc Smile Lodge $12 - $40 11%
Wc Society $12 - $40 11%
Wc Srs $12 - $40 11%
Wc Taconic (Mro) $12 - $40 11%
Wc Taconic Farms $12 - $40 11%
Wc Travelers $12 - $67 11%
Wc Triad Group $12 - $40 11%
Wc Tristar $12 - $67 11%
Wc Troy Ny $12 - $40 11%
Wc Tyson $12 - $40 11%
Wc Unified Health Services $12 - $40 11%
Wc United Heartland $12 - $40 11%
Wc Us Dept Of Labor $12 - $40 11%
Wc Velocity $12 - $40 11%
Wc Walmart $12 - $67 11%
Wc West Bend $12 - $40 11%
Wc West Bend Mutual/Argent $12 - $40 11%
Wc Winnebago Industries $12 - $40 11%
Wc Yankee Trails $12 - $40 11%
Wc York Risk $12 - $40 11%
Wc Zenith $12 - $40 11%
Wc Zurich $12 - $67 11%
Blue Benefit Administrators Of Massachusetts $13 - $51 12%
Blue Distinction Transplant $13 - $51 12%
Blue Shield - Ca $13 - $51 12%
Blue Shield - Id (Regence) $13 - $51 12%
Blue Shield - Ny Highmark Northeastern $13 - $51 12%
Blue Shield - Ny Highmark Western $13 - $51 12%
Blue Shield - Pa (Highmark) $13 - $51 12%
Blue Shield - Wa (Regence) $13 - $51 12%
Claimdoc $13 - $43 12%
Kent County Jail $13 - $43 12%
Muskegon County Jail $13 - $43 12%
Champva $15 - $110 14%
Tricare $15 - $110 14%
Triwest Health Alliance $15 - $110 14%
Us Family Health Plan $15 - $110 14%
Veterans Eval Services $15 - $110 14%
Health Partners $16 - $197 15%
Tufts Health Plan $16 - $197 15%
Bcccp-Michigan $19 - $137 18%
Caresource $38 36%
Bcn Domestic $51 48%
Blue Care Network $51 48%
Health Choices $51 - $168 48%
Kaiser Domestic $51 48%
U Of M Health Plan $61 57%
Priority Health $66 - $74 62%
Geha $68 - $170 64%
Meritain $68 64%
Angela Hospice $105 98%
Arbor Hospice $105 98%
Heartland Hospice $105 98%
Health Cost Solutions $162 152%
Vitalcore $162 152%
Access Health $168 157%
Acclaim $168 157%
Administrative Concepts $168 157%
Allegeant $168 157%
Ameriben $168 157%
American Family $168 157%
American Healthcare Alliance $168 157%
American National $168 157%
American Republic $168 157%
Amerihealth $168 157%
Aultcare $168 157%
Automated Benefit Services $168 157%
Auxiant $168 157%
Benefit Administrative Systems,Llc $168 157%
Boon Chapman $168 157%
Cam Administrative Services $168 157%
Christian Brother Services $168 157%
Christian Brothers Holy Cross $168 157%
Comprehensive Benefits $168 157%
Continental Life Insurance $168 157%
Custom Benefit Administrators $168 157%
Employee Benefit Concepts $168 157%
Employee Benefit Management $168 157%
Enterprise Group Planning $168 157%
Freedom Life Insurance Company $168 157%
Group Administrators $168 157%
Group Marketing Services $168 157%
Guardian $168 157%
Health America $168 157%
Healthcare Management Admin $168 157%
Healthez $168 157%
Insight $168 157%
Intercare $168 157%
Jfp Benefit Management $168 157%
Jp Farley Corporation $168 157%
Key Benefit Administrator $168 157%
Liberty Union Life Assurance Co $168 157%
Lucent Health $168 157%
Luminare Health $168 157%
Luminare Health (Detroit) $168 157%
Magnacare $168 157%
Medben $168 157%
Medcost $168 157%
Medical Mutual $168 157%
Mutual Health Services $168 157%
Mutual Of Omaha $168 157%
Ncas $168 157%
Nippon Life Ins $168 157%
Nova $168 157%
Painters Union Insurance Fund $168 157%
Physicians Mutual $168 157%
Plumbers Local 98 Insurance Fund $168 157%
Prairie States $168 157%
Preferred One $168 157%
Primary Physician Care $168 157%
Professional Benefit Administrators $168 157%
Siho Insurance Services $168 157%
Sisco Benefits $168 157%
The Loomis Company $168 157%
Unicare $168 157%
Us Health And Life $168 157%
Valenz $168 157%
Western & Southern Financial Group $168 157%
Wps $168 157%
Coventry $173 162%
First Health $173 162%
Hospice Of Michigan $177 166%
Ghc Scw $190 178%
Group Pension Administrators $190 178%
Medi Share $190 178%
Paramount Hmo $190 178%
Prime Health Services $202 189%
Three Rivers Provider Network $228 213%
Employee Benefit Logistic $235 220%
Magellan Behavioral Health $253 237%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 775 S Main St, Chelsea, MI 48118
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals