CMS Price Transparency Data

X-ray, pelvis

Facility: Fort Memorial Hospital

Billing Code: 72170 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$48
about 0.4× the $107 Medicare rate · typically $25–$72
modeled estimate · not a bill or quote
What this hospital charges insurers
$25
Below the fair price — a good deal
about $23 under the fair price · 0.2× Medicare
Medicare pays $107 Fair price $48 This hospital $25 Cash price $65 Hospital's list price $202

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

One of the lower prices — 6 of 8 other WI hospitals charge more for the same procedure.

Cheapest $20 Priciest $57

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

A fair price for a X-ray, pelvis is about $48 (about 0.4× the $107 Medicare rate). Fort Memorial Hospital charges insurers about $25, or about $65 in cash — below the fair price — a good deal. Located in Fort Atkinson, WI.

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 - $102 7%
Blue Cross Blue Shieldmajor $7 - $139 7%
Aetnamajor $13 - $260 12%
Cignamajor $51 - $329 48%
Humanamajor $8 - $102 7%
Dean Health Plan $8 - $363 7%
Molina $8 - $102 7%
Quartz $8 - $275 7%
+ 8 smaller / regional plans $8 - $500
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 611 Sherman Ave E, Fort Atkinson, WI 53538
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals