Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
LE-PELVIS DR
Newport, TN
See all hospitals reporting CPT 72170 →Price type
Cocke County HMA, LLC’s median price of $100 is 26% below the median hospital's median price ($134), higher than 22% of the 2,718 hospitals reporting CPT 72170. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield bcbs tn net s facility · fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 2 | UnitedHealthcare uhc community plan facility · case rate · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 3 | Blue Cross Blue Shield bcbs tn net p facility · fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 4 | UnitedHealthcare uhc hsa facility · fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 5 | UnitedHealthcare uhc options ppo facility · fee schedule · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 6 | Tricare node tricare facility · fee schedule · outpatient | $86 | $86 | $5 | 5% | — | $81 – $90 |
| 7 | Humana node humana mcr adv facility · fee schedule · outpatient | $95 | $95 | $5 | 5% | — | $90 – $100 |
| 8 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $95 | $95 | $5 | 5% | — | $90 – $100 |
| 9 | Optum node united optum va ccn facility · per diem · outpatient | $97 | $97 | $5 | 5% | — | $91 – $102 |
| 10 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $97 | $97 | $5 | 5% | — | $92 – $102 |
| 11 | Aetna node aetna mcr adv facility · per diem · outpatient | $98 | $98 | $5 | 5% | — | $93 – $103 |
| 12 | Blue Cross Blue Shield node bcbs mcr adv facility · fee schedule · outpatient | $98 | $98 | $5 | 5% | — | $93 – $103 |
| 13 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $99 | $99 | $5 | 5% | — | $94 – $104 |
| 14 | UnitedHealthcare node uhc mcr dual adv facility · fee schedule · outpatient | $100 | $100 | $5 | 5% | — | $94 – $105 |
| 15 | UnitedHealthcare uhc iex facility · fee schedule · outpatient | $111 | $111 | $6 | 5% | — | $105 – $117 |
| 16 | Cigna cigna all facility · fee schedule · outpatient | $130 | $130 | $7 | 5% | — | $123 – $137 |
| 17 | Ambetter node ambetter health exchange facility · fee schedule · outpatient | $179 | $179 | $9 | 5% | — | $169 – $188 |
| 18 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $519 | $519 | — | — | — | $519 – $519 |
| 19 | MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges | $651 | $651 | — | — | — | $651 – $651 |
| 20 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $651 | $651 | — | — | — | $651 – $651 |
| 21 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $834 | $834 | — | — | — | $834 – $834 |
| 22 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $834 | $834 | — | — | — | $834 – $834 |
Last updated: Apr 1, 2026
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