CMS Price Transparency Data

X-ray, pelvis

Facility: Sauk Prairie Hospital

Billing Code: 72170 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$97
about 0.9× the $107 Medicare rate · typically $71–$131
modeled estimate · not a bill or quote
What this hospital charges insurers
$103
About the fair price
about $6 over the fair price · 1.0× Medicare
Medicare pays $107 Fair price $97 This hospital $103 Cash price $146 Hospital's list price $267

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $20 Priciest $103

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 $97 (about 0.9× the $107 Medicare rate). Sauk Prairie Hospital charges insurers about $103, or about $146 in cash — about the fair price. Located in Prairie Du Sac, WI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 - $438 7%
Blue Cross Blue Shieldmajor $7 - $425 7%
Humanamajor $8 - $103 7%
Dean Health Plan $8 - $578 7%
Quartz $8 - $280 7%
+ 1 smaller / regional plan $43 - $369

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 260 26Th Street, Prairie Du Sac, WI 53578
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals