CMS Price Transparency Data

X-ray, pelvis

Facility: Sky Lakes Medical Center

Billing Code: 72170 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$105

about 1.0× the $107 Medicare rate · typically $81–$136

modeled estimate · not a bill or quote

What this hospital charges insurers

$118

About the fair price

about $13 over the fair price · 1.1× Medicare

Medicare pays $107 Fair price $105 This hospital $118 Cash price $310 Hospital's list price $413

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

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

Cheapest $26 Priciest $118

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

A fair price for a X-ray, pelvis is about $105 (about 1.0× the $107 Medicare rate). Sky Lakes Medical Center charges insurers about $118, or about $310 in cash — about the fair price. Located in Klamath Falls, OR.

What each insurance company pays

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

6 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	$118 - $413	110%
Blue Cross Blue Shieldmajor	$118 - $490	110%
Aetnamajor	$118 - $413	110%
Cignamajor	$118 - $413	110%
Humanamajor	$118 - $413	110%
Kaiser Permanentemajor	$118 - $413	110%
GEHA	$413	387%
Health Net	$413	387%
HealthPartners	$413	387%
Moda Health	$118 - $413	110%
MVP Health Care	$413	387%
PacificSource	$118 - $372	110%
Providence Health Plan	$118 - $413	110%
Sanford Health Plan	$413	387%
UPMC Health Plan	$413	387%
WellCare	$118	110%
+ 201 smaller / regional plans	$118 - $413

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 19 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 310), 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 Sky Lakes Medical Center 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 Sky Lakes Medical Center

Compare: X-ray, pelvis at other OR hospitals

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