CMS Price Transparency Data

X-ray, pelvis

Facility: Ohio Valley Surgical Hospital

Billing Code: 72170 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$227

about 2.1× the $107 Medicare rate · typically $52–$3,905

modeled estimate · not a bill or quote

What this hospital charges insurers

$193

Below the fair price — a good deal

about $34 under the fair price · 1.8× Medicare

Medicare pays $107 Fair price $227 This hospital $193 Cash price $184 Hospital's list price $306

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $25 Priciest $193

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

A fair price for a X-ray, pelvis is about $227 (about 2.1× the $107 Medicare rate). Ohio Valley Surgical Hospital charges insurers about $193, or about $184 in cash — below the fair price — a good deal. Located in Springfield, OH.

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 - $17,571	95%
Blue Cross Blue Shieldmajor	$101 - $40,293	95%
Aetnamajor	$32 - $20,896	30%
Cignamajor	$101 - $18,817	95%
Humanamajor	$101 - $11,919	95%
AmeriHealth	$3,657	3424%
CareSource	$152 - $17,827	142%
Devoted Health	$120 - $13,707	112%
GEHA	$32 - $20,896	30%
Medica	$178 - $17,571	167%
Molina	$101 - $11,885	95%
UniCare	$101 - $11,885	95%
WellCare	$101 - $11,885	95%
+ 41 smaller / regional plans	$32 - $20,896

Government programs also on file: Medicare, Medicaid.

Excludes 2 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 184), 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 Ohio Valley Surgical 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 Ohio Valley Surgical Hospital

Compare: X-ray, pelvis at other OH hospitals

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