CMS Price Transparency Data

X-ray, pelvis

Facility: Door County Medical Center

Billing Code: 72170 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$132
about 1.2× the $107 Medicare rate · typically $41–$258
modeled estimate · not a bill or quote
What this hospital charges insurers
$127
About the fair price
about $5 under the fair price · 1.2× Medicare
Medicare pays $107 Fair price $132 This hospital $127 Cash price $282 Hospital's list price $376

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 $127

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 $132 (about 1.2× the $107 Medicare rate). Door County Medical Center charges insurers about $127, or about $282 in cash — about the fair price. Located in Sturgeon Bay, 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 $123 - $289 115%
Blue Cross Blue Shieldmajor $318 298%
Humanamajor $127 - $354 119%
HealthPartners $120 112%
+ 2 smaller / regional plans $184 - $282
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 323 South 18Th Avenue, Sturgeon Bay, WI 54235
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals