CMS Price Transparency Data

X-ray, pelvis

Facility: CHI Health Bergan Mercy

Billing Code: 72170 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$117

about 1.1× the $107 Medicare rate · typically $61–$171

modeled estimate · not a bill or quote

What this hospital charges insurers

$104

Below the fair price — a good deal

about $13 under the fair price · 1.0× Medicare

Medicare pays $107 Fair price $117 This hospital $104 Cash price $168 Hospital's list price $401

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

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

Cheapest $21 Priciest $104

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

A fair price for a X-ray, pelvis is about $117 (about 1.1× the $107 Medicare rate). CHI Health Bergan Mercy charges insurers about $104, or about $168 in cash — below the fair price — a good deal. Located in Omaha, NE.

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✓ Humana AetnaCignaKaiser 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	$68 - $104	64%
Blue Cross Blue Shieldmajor	$104	97%
Humanamajor	$104	97%
Ambetter (Centene)	$68 - $107	64%
Amerigroup	$90 - $109	84%
Medica	$37 - $209	35%
Molina	$91	85%
+ 11 smaller / regional plans	$61 - $241

Excludes 3 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 168), 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 CHI Health Bergan Mercy 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 CHI Health Bergan Mercy

Compare: X-ray, pelvis at other NE hospitals

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