CMS Price Transparency Data

X-ray, pelvis

Facility: Schuyler Hospital

Billing Code: 72170 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$60
about 0.6× the $107 Medicare rate · typically $11–$163
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $60 Cash price $58 Hospital's list price $292

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✓ Aetna✓ Cigna HumanaKaiser 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 $204 191%
Blue Cross Blue Shieldmajor $146 - $181 137%
Aetnamajor $189 177%
Cignamajor $146 - $175 137%
Fidelis Care $13 - $146 12%
Independent Health $280 262%
WellCare $146 137%

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 220 Steuben Street, Montour Falls, NY 14865
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals