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
XR PELVIS 1 OR 2 VIEWS
Gilbert, AZ
See all hospitals reporting CPT 72170 →Price type
Dignity Health’s median price of $116 is 14% below the median hospital's median price ($134), higher than 39% of the 2,675 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: 7 payers, 26 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 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 2 | Blue Cross Blue Shield commercial|maricopafocus fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 3 | Blue Cross Blue Shield commercial|neighborhood fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 4 | UnitedHealthcare commercial|dignityhealthemployee fee schedule · outpatient | $77 | $77 | $33 | 43% | — | $44 – $109 |
| 5 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $78 | $78 | — | — | 17 | $78 – $78 |
| 6 | Aetna medicare|all plans fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 7 | Blue Cross Blue Shield medicare|all plans fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 8 | Cigna medicare|all plans fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 9 | First Health medicare|all plans fee schedule · outpatient | $113 | $113 | — | — | 2–20 | $113 – $113 |
| 10 | Humana medicare|all plans fee schedule · outpatient | $113 | $113 | — | — | 2–20 | $113 – $113 |
| 11 | Blue Cross Blue Shield commercial|workers comp fee schedule · outpatient | $116 | $116 | — | — | 2–20 | $116 – $116 |
| 12 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 13 | Aetna commercial|all other plans fee schedule · outpatient | $194 | $194 | — | — | — | $194 – $194 |
| 14 | Aetna commercial|hmo fee schedule · outpatient | $194 | $194 | — | — | — | $194 – $194 |
| 15 | Aetna commercial|ppo fee schedule · outpatient | $194 | $194 | — | — | — | $194 – $194 |
| 16 | Cigna commercial|exchange fee schedule · outpatient | $233 | $233 | — | — | — | $233 – $233 |
| 17 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $236 | $236 | — | — | 2–20 | $236 – $236 |
| 18 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $236 | $236 | — | — | 2–20 | $236 – $236 |
| 19 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $236 | $236 | — | — | 2–20 | $236 – $236 |
| 20 | Cigna commercial|localplus surefit fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 21 | First Health commercial|all plans fee schedule · inpatient | $295 | $295 | $127 | 43% | — | $168 – $422 |
| 22 | First Health commercial|all plans fee schedule · outpatient | $295 | $295 | $127 | 43% | — | $168 – $422 |
| 23 | Cigna commercial|all other plans fee schedule · outpatient | $320 | $320 | $8 | 3% | 2–20 | $312 – $328 |
| 24 | Cigna commercial|ppo fee schedule · outpatient | $320 | $320 | $8 | 3% | 2–20 | $312 – $328 |
| 25 | MultiPlan commercial|all plans fee schedule · inpatient | $421 | $421 | $181 | 43% | — | $240 – $601 |
Last updated: Feb 28, 2026
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