CMS Price Transparency Data

X-ray, pelvis

Facility: Novant Health Medical Park Hospital

Billing Code: 72170 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$137

about 1.3× the $107 Medicare rate · typically $111–$212

modeled estimate · not a bill or quote

What this hospital charges insurers

$105

Below the fair price — a good deal

about $32 under the fair price · 1.0× Medicare

Medicare pays $107 Fair price $137 This hospital $105 Cash price $256 Hospital's list price $427

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

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

Cheapest $20 Priciest $105

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

A fair price for a X-ray, pelvis is about $137 (about 1.3× the $107 Medicare rate). Novant Health Medical Park Hospital charges insurers about $105, or about $256 in cash — below the fair price — a good deal. Located in Winston-Salem, NC.

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	$101 - $287	95%
Blue Cross Blue Shieldmajor	$24 - $293	22%
Aetnamajor	$104 - $342	97%
Cignamajor	$104 - $254	97%
Humanamajor	$101 - $333	95%
AmeriHealth	$103	96%
CareSource	$171	160%
WellCare	$103	96%
+ 10 smaller / regional plans	$101 - $414

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 (about 256), 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 Novant Health Medical Park 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 Novant Health Medical Park Hospital

Compare: X-ray, pelvis at other NC hospitals

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