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HCPCS 72170TC

X-RAY EXAM OF PELVIS

Reported by 16 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$39

Average

$214

Median

$153

High

$524

Hospitals reporting this code

#HospitalLocation
1St Joseph’s Health Services IncHillsboro, WI$259$524$458$524$115
2Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$524$524$524$524—
3Memorial Hospital of BoscobelBoscobel, WI$259$259$259$259—
4Tri-County Memorial Hospital IncWhitehall, WI$524$524$524$524—
5Hmh Hospitals CorporationNorth Bergen, NJ$39$61$150$295$119
6Hmh Hospitals CorporationEdison, NJ$39$39$39$39—
7Hmh Hospitals CorporationHackensack, NJ$37$55$105$337$105
8Hmh Hospitals CorporationBrick, NJ$39$39$39$39—
9Hmh Hospitals CorporationRed Bank, NJ$37$65$151$295$118
10Hmh Hospitals CorporationEdison, NJ$39$312$221$312$129
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