CMS Price Transparency Data

X-ray, pelvis

Facility: Skyline Hospital

Billing Code: 72170 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$42
about 0.4× the $107 Medicare rate · typically $13–$143
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $42 Cash price $127 Hospital's list price $176

How we calculate the fair BaseRate →

What each insurance company pays

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

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $12 - $310 11%
Amerigroup $18 - $163 17%
PacificSource $29 - $149 27%
Providence Health Plan $16 - $263 15%
+ 4 smaller / regional plans $8 - $263
Government programs also on file: Medicare, Medicaid, Military & VA.
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: 211 Skyline Drive, White Salmon, WA 98672
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals