CMS Price Transparency Data

X-ray, pelvis

Facility: Frances Mahon Deaconess Hospital

Billing Code: 72170 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$26
about 0.2× the $107 Medicare rate · typically $13–$170
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $26 Cash price $166 Hospital's list price $185

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 $8 - $304 7%
Blue Cross Blue Shieldmajor $10 - $298 9%
Cignamajor $16 - $304 15%
Humanamajor $10 - $147 9%
GEHA $46 - $310 43%
+ 7 smaller / regional plans $8 - $310
Excludes 2 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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 621 3Rd St S, Glasgow, MT 59230
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals