CMS Price Transparency Data

X-ray, pelvis

Facility: Sanford Wheaton Medical Center

Billing Code: 72170 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$110
about 1.0× the $107 Medicare rate · typically $36–$175
modeled estimate · not a bill or quote
What this hospital charges insurers
$112
About the fair price
about $2 over the fair price · 1.0× Medicare
Medicare pays $107 Fair price $110 This hospital $112 Cash price $310 Hospital's list price $388

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

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

Cheapest $21 Priciest $112

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

A fair price for a X-ray, pelvis is about $110 (about 1.0× the $107 Medicare rate). Sanford Wheaton Medical Center charges insurers about $112, or about $310 in cash — about the fair price. Located in Wheaton, MN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $212 - $324 198%
Blue Cross Blue Shieldmajor $94 - $359 88%
Aetnamajor $212 - $337 198%
Health Net $349 327%
HealthPartners $212 - $314 198%
Medica $341 - $367 319%
Sanford Health Plan $196 - $360 184%
Security Health Plan $213 199%
UCare $112 - $341 105%
+ 2 smaller / regional plans $216 - $349
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 401 12Th Street North, Wheaton, MN 56296
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals