CMS Price Transparency Data

X-ray, pelvis

Facility: Elliot Hospital

Billing Code: 72170 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$132
about 1.2× the $107 Medicare rate · typically $113–$222
modeled estimate · not a bill or quote
What this hospital charges insurers
$138
About the fair price
about $6 over the fair price · 1.3× Medicare
Medicare pays $107 Fair price $132 This hospital $138 Cash price $237 Hospital's list price $641

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

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

Cheapest $20 Priciest $138

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

A fair price for a X-ray, pelvis is about $132 (about 1.2× the $107 Medicare rate). Elliot Hospital charges insurers about $138, or about $237 in cash — about the fair price. Located in Manchester, NH.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $112 - $638 105%
Aetnamajor $114 107%
Cignamajor $138 129%
Ambetter (Centene) $145 136%
WellSense $116 109%
+ 1 smaller / regional plan $117

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 1 Elliot Way, Manchester, NH 03103
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals