CMS Price Transparency Data

X-ray, pelvis

Facility: Dickenson Community Hospital

Billing Code: 72170 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$106
about 1.0× the $107 Medicare rate · typically $37–$171
modeled estimate · not a bill or quote
What this hospital charges insurers
$104
About the fair price
about $2 under the fair price · 1.0× Medicare
Medicare pays $107 Fair price $106 This hospital $104 Cash price $65 Hospital's list price $281

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

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

Cheapest $74 Priciest $104

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

A fair price for a X-ray, pelvis is about $106 (about 1.0× the $107 Medicare rate). Dickenson Community Hospital charges insurers about $104, or about $65 in cash — about the fair price. Located in Clintwood, VA.

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 $40 - $281 37%
Blue Cross Blue Shieldmajor $29 - $281 27%
Aetnamajor $84 - $225 79%
Cignamajor $37 - $89 35%
Humanamajor $86 81%
Ambetter (Centene) $104 97%
Amerigroup $84 79%
Devoted Health $89 83%
Molina $88 - $105 82%
Sentara $84 - $104 79%
+ 3 smaller / regional plans $84 - $281
Government programs also on file: Medicare.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 312 Hospital Drive, Clintwood, VA 24228
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals