CMS Price Transparency Data

X-ray, pelvis

Facility: Dekalb Community Hospital

Billing Code: 72170 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$96
about 0.9× the $107 Medicare rate · typically $44–$124
modeled estimate · not a bill or quote
What this hospital charges insurers
$100
About the fair price
about $4 over the fair price · 0.9× Medicare
Medicare pays $107 Fair price $96 This hospital $100 Cash price $149 Hospital's list price $496

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

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

Cheapest $24 Priciest $100

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

A fair price for a X-ray, pelvis is about $96 (about 0.9× the $107 Medicare rate). Dekalb Community Hospital charges insurers about $100, or about $149 in cash — about the fair price. Located in Smithville, TN.

What each insurance company pays

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

5 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 $100 - $179 94%
Blue Cross Blue Shieldmajor $15 - $105 14%
Aetnamajor $38 - $129 36%
Cignamajor $43 - $61 40%
Humanamajor $100 94%
Ambetter (Centene) $130 122%
Amerigroup $100 94%
Cigna HealthSpring $100 94%
Oscar Health $141 132%
+ 6 smaller / regional plans $22 - $141
Government programs also on file: Medicare.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 520 W Main St, Smithville, TN 37166
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals