CMS Price Transparency Data

X-ray, pelvis

Facility: Wentworth-Douglass Hospital

Billing Code: 72170 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$114
about 1.1× the $107 Medicare rate · typically $93–$198
modeled estimate · not a bill or quote
What this hospital charges insurers
$111
About the fair price
about $3 under the fair price · 1.0× Medicare
Medicare pays $107 Fair price $114 This hospital $111 Cash price $409 Hospital's list price $682

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

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

Cheapest $20 Priciest $133

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a X-ray, pelvis is about $114 (about 1.1× the $107 Medicare rate). Wentworth-Douglass Hospital charges insurers about $111, or about $409 in cash — about the fair price. Located in Dover, 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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $111 - $528 104%
Blue Cross Blue Shieldmajor $109 - $710 102%
Aetnamajor $476 446%
Harvard Pilgrim $496 464%
WellSense $79 - $111 74%
+ 3 smaller / regional plans $79 - $429
Government programs also on file: Medicare.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 789 Central Ave, Dover, NH 03820
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals