CMS Price Transparency Data

X-ray, pelvis

Facility: Southern Coos Hospital & Health Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $207
  • Cash Discount Price: $175
  • vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Southern Coos Hospital & Health Center is $207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $175. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.94x the Medicare baseline. Located in 900 11Th Street Se, Bandon, OR.
Cash / Self-Pay
$175

Average discount available for prompt cash payment at this facility.

Insurance Median
$207

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $175 (164%)
Insurance Median: $207 (194%)
Cash: $175 (164% of Medicare)
Ins. Median: $207 (194% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $15 - $291 14%
Cigna $15 - $248 14%
Moda Health Plan - All Other Plans $15 - $279 14%
Providence Preferred - All Plans $16 - $298 15%
Tricare $32 - $182 30%
Aetna $37 - $282 35%
Atrio Mcr Adv - Allplans $37 - $207 35%
Confederated Tribes - All Plans $37 - $207 35%
Moda Mcr Adv $37 - $207 35%
Pacific Source Mcr Adv $37 - $207 35%
Advanced Health - All Plans $197 184%
Healthnet - All Plans $260 243%
Prov Netwrk Of America - All Plans $282 264%
Three Rivers - All Plans $282 264%
UnitedHealthcare $282 264%
First Choice - All Plans $288 270%
Multiplan - All Plans $291 272%
First Health - All Plans $298 279%
Pacific Source - All Other Plans $298 279%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 11Th Street Se, Bandon, OR 97411
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals