CMS Price Transparency Data
X-ray, pelvis
Facility: Southwestern Vermont Medical Center
Billing Code: 72170 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$26
about 0.2× the $107 Medicare rate · typically $14–$87
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $26 Cash price $192 Hospital's list price $275
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 | $8 - $109 | 7% |
| Blue Cross Blue Shieldmajor | $8 - $109 | 7% |
| Aetnamajor | $8 - $109 | 7% |
| Cignamajor | $8 - $109 | 7% |
| Humanamajor | $8 - $109 | 7% |
| CDPHP | $6 - $109 | 6% |
| Fidelis Care | $8 - $114 | 7% |
| MVP Health Care | $8 - $109 | 7% |
| Tufts Health Plan | $35 | 33% |
| WellCare | $8 - $109 | 7% |
| + 3 smaller / regional plans | $8 - $109 |
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.
Other Procedures at Southwestern Vermont Medical Center
Compare: X-ray, pelvis at other VT hospitals
- Brattleboro Memorial Hospital · Brattleboro $27
- Univ. of Vermont - Fletcher Allen Health Care · Burlington $28
- Copley Hospital · Morrisville $370
Insurance negotiated median for the same procedure, sorted lowest first.