CMS Price Transparency Data

X-ray, pelvis

Facility: Lee County Community Hospital

Billing Code: 72170 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$104
about 1.0× the $107 Medicare rate · typically $38–$171
modeled estimate · not a bill or quote
What this hospital charges insurers
$193
Well above the fair price
about $89 over the fair price · 1.8× Medicare
Medicare pays $107 Fair price $104 This hospital $193 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 $193

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 $104 (about 1.0× the $107 Medicare rate). Lee County Community Hospital charges insurers about $193, or about $65 in cash — well above the fair price. Located in Pennington Gap, VA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $104. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $62 - $281 58%
Cignamajor $37 - $281 35%
Humanamajor $63 59%
Ambetter (Centene) $62 58%
Amerigroup $62 - $281 58%
Devoted Health $65 61%
Molina $64 - $105 60%
Sentara $62 - $101 58%
+ 4 smaller / regional plans $62 - $148
Government programs also on file: Medicare.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: 127 Health Care Drive, Pennington Gap, VA 24277
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals