CMS Price Transparency Data

X-ray, pelvis

Facility: St James Hospital

Billing Code: 72170 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$118

about 1.1× the $107 Medicare rate · typically $115–$202

modeled estimate · not a bill or quote

What this hospital charges insurers

$144

Above the fair price

about $26 over the fair price · 1.3× Medicare

Medicare pays $107 Fair price $118 This hospital $144 Hospital's list price $319

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

On the higher side — 6 of 8 other MT hospitals charge less.

Cheapest $45 Priciest $333

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

A fair price for a X-ray, pelvis is about $118 (about 1.1× the $107 Medicare rate). St James Hospital charges insurers about $144 — above the fair price. Located in Butte, MT.

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 $118. 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.

5 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	$108 - $271	101%
Blue Cross Blue Shieldmajor	$177 - $319	166%
Aetnamajor	$303	284%
Cignamajor	$167 - $303	156%
Humanamajor	$110	103%
GEHA	$271	254%
PacificSource	$135 - $303	126%
+ 6 smaller / regional plans	$99 - $303

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72170.

Insurance Before you use insurance

Call your insurance company to confirm St James Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 72170.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St James Hospital

Compare: X-ray, pelvis at other MT hospitals

Insurance negotiated median for the same procedure, sorted lowest first.