CMS Price Transparency Data

X-ray, pelvis

Facility: Choctaw Memorial Hospital

Billing Code: 72170 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$87
about 0.8× the $107 Medicare rate · typically $41–$191
modeled estimate · not a bill or quote
What this hospital charges insurers
$46
Below the fair price — a good deal
about $41 under the fair price · 0.4× Medicare
Medicare pays $107 Fair price $87 This hospital $46 Cash price $170 Hospital's list price $339

How we calculate the fair BaseRate →

How this hospital compares to other OK hospitals

One of the lower prices — 7 of 8 other OK hospitals charge more for the same procedure.

Cheapest $21 Priciest $81

Black dot = this hospital, among the 9 OK 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 $87 (about 0.8× the $107 Medicare rate). Choctaw Memorial Hospital charges insurers about $46, or about $170 in cash — below the fair price — a good deal. Located in Hugo, OK.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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 $55 51%
+ 1 smaller / regional plan $38

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 1405 East Kirk Road, Hugo, OK 74743
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals