CMS Price Transparency Data

X-ray, pelvis

Facility: Mercy Health Lakeshore Campus

Billing Code: 72170 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$17
about 0.2× the $107 Medicare rate · typically $17–$39
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
Above the fair price
about $11 over the fair price · 0.3× Medicare
Medicare pays $107 Fair price $17 This hospital $28 Hospital's list price $67

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $22 Priciest $28

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

A fair price for a X-ray, pelvis is about $17 (about 0.2× the $107 Medicare rate). Mercy Health Lakeshore Campus charges insurers about $28 — above the fair price. Located in Shelby, MI.

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 $17. 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.

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 $13 - $248 12%
Blue Cross Blue Shieldmajor $13 - $236 12%
Aetnamajor $13 - $220 12%
Cignamajor $13 - $240 12%
Humanamajor $13 - $247 12%
Kaiser Permanentemajor $236 221%
Ambetter (Centene) $13 - $18 12%
AmeriHealth $26 - $247 24%
CareSource $246 230%
Dean Health Plan $24 - $237 22%
GEHA $20 - $248 19%
Health Net $13 - $40 12%
HealthPartners $13 - $23 12%
MagnaCare $26 - $80 24%
Medical Mutual $26 - $247 24%
Meridian $13 - $18 12%
Molina $13 - $115 12%
MVP Health Care $24 - $237 22%
Oscar Health $24 - $85 22%
Paramount $13 - $237 12%
Presbyterian $13 - $18 12%
Priority Health $32 - $249 30%
Tufts Health Plan $13 - $23 12%
UniCare $26 - $247 24%
WellSense $13 - $18 12%
+ 355 smaller / regional plans $13 - $253
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

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

  • Address: 72 South State Street, Shelby, MI 49455
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals