CMS Price Transparency Data

X-ray, pelvis

Facility: Adventist Health Tillamook

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $144
  • Cash Discount Price: $93
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Adventist Health Tillamook is $144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $93. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.35x the Medicare baseline. Located in 1000 Third Street, Tillamook, OR.
Cash / Self-Pay
$93

Average discount available for prompt cash payment at this facility.

Insurance Median
$144

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: $93 (87%)
Insurance Median: $144 (135%)
Cash: $93 (87% of Medicare)
Ins. Median: $144 (135% 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
Aetna $8 - $427 7%
Moda Health Plan - All Plans $8 - $216 7%
UnitedHealthcare $8 - $436 7%
Blue Cross Blue Shield $9 - $399 8%
Devoted Health $9 - $233 8%
Medicare (plans) $9 - $216 8%
Sterling Life - All Plans $9 - $224 8%
Hvhs Mcare - All Plans $10 - $218 9%
Pacificsource - All Plans $17 - $441 16%
Ods Health Plan - All Other Plans $19 - $445 18%
Lifewise - All Plans $52 - $414 49%
Ah Employee Health Plan - All Plans $55 - $431 51%
First Choice Health- All Plans $55 - $431 51%
Health Net - All Plans $55 - $431 51%
Providence Preferred - All Plans $57 - $450 53%
Workers Comp $58 - $459 54%
Cigna $141 - $436 132%
Phcs Preferred - All Plans $141 - $436 132%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Third Street, Tillamook, OR 97141
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals