CMS Price Transparency Data

X-ray, pelvis

Facility: Samaritan North Lincoln Hospital

Billing Code: 72170 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$27
about 0.3× the $107 Medicare rate · typically $22–$58
modeled estimate · not a bill or quote
What this hospital charges insurers
$26
About the fair price
about $1 under the fair price · 0.2× Medicare
Medicare pays $107 Fair price $27 This hospital $26 Cash price $59 Hospital's list price $74

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Lowest price of the 9 OR hospitals we have prices for — a strong deal.

Cheapest $26 Priciest $45

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 $27 (about 0.3× the $107 Medicare rate). Samaritan North Lincoln Hospital charges insurers about $26, or about $59 in cash — about the fair price. Located in Lincoln City, OR.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $9 - $476 8%
Aetnamajor $14 - $504 13%
Cignamajor $8 - $514 7%
Humanamajor $8 - $517 7%
Devoted Health $8 - $219 7%
Health Net $8 - $514 7%
Moda Health $10 - $504 9%
PacificSource $7 - $214 7%
+ 4 smaller / regional plans $8 - $514

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Facility Profile & Credentials

  • Address: 3043 Ne 28Th Street, Lincoln City, OR 97367
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals