CMS Price Transparency Data
X-ray, pelvis
Facility: Memorial Hospital of Lafayette County
Billing Code: 72170 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$57
about 0.5× the $107 Medicare rate · typically $10–$166
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $57 Cash price $261 Hospital's list price $326
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 | $9 - $212 | 8% |
| Blue Cross Blue Shieldmajor | $9 - $264 | 8% |
| Aetnamajor | $9 - $212 | 8% |
| Humanamajor | $9 - $310 | 8% |
| Dean Health Plan | $9 - $313 | 8% |
| Quartz | $9 - $220 | 8% |
| + 3 smaller / regional plans | $9 - $277 |
Government programs also on file: Medicaid.
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Other Procedures at Memorial Hospital of Lafayette County
Compare: X-ray, pelvis at other WI hospitals
- Richland Hospital · Richland Center $20
- Fort Memorial Hospital · Fort Atkinson $25
- Tomah Memorial Hospital · Tomah $25
- Unitypoint Health - Meriter · Madison $27
- Beloit Health System · Beloit $32
- Ascension Columbia St Marys Hospital Milwaukee · Milwaukee $50
- Upland Hills Health · Dodgeville $50
- Ascension Sacred Heart Rehabilitation Hospital · Mequon $50
Insurance negotiated median for the same procedure, sorted lowest first.