CMS Price Transparency Data

X-ray, pelvis

Facility: Lincoln Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $170
  • Cash Discount Price: $263
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Lincoln Hospital is $170. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $263. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.59x the Medicare baseline. Located in 10 Nichols Street, Davenport, WA.
Cash / Self-Pay
$263

Average discount available for prompt cash payment at this facility.

Insurance Median
$170

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: $263 (246%)
Insurance Median: $170 (159%)
Cash: $263 (246% of Medicare)
Ins. Median: $170 (159% 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 - $288 7%
Asuris Nw Health-All Plans $8 - $279 7%
Indian Hlth Services - All Plans $8 - $170 7%
Tricare $8 - $170 7%
UnitedHealthcare $8 - $267 7%
Va Ccn - All Plans $8 - $170 7%
First Choice Health- All Plans $12 - $294 11%
Molina Exchange-All Other Plans $14 - $241 13%
Labor & Industries - All Plans $15 14%
Ambetter / Centene $17 - $142 16%
Molina Hlthy Options $17 - $142 16%
Amerigroup Mcaid - All Plans $18 - $151 17%
Cigna $232 217%
Focus Healthcare Mgmt - All Plans $243 228%
First Health Coventry-All Plans $250 - $270 234%
Blue Cross Blue Shield $267 250%
Uniform Medical Plan-All Plans $267 250%
Health Management Network-All Plans $273 256%
Three Rivers-All Plans $273 256%
Multiplan-All Plans $288 270%
Physician Hosp Comm Org-All Plans $288 270%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10 Nichols Street, Davenport, WA 99122
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals