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 CR
Longview, TX
See all hospitals reporting CPT 72170 →Price type
Longview Medical Center LP’s median price of $105 is 22% below the median hospital's median price ($134), higher than 28% 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: 10 payers, 37 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 | Cigna cigna all facility · fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 2 | Medicaid node tx medicaid facility · fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 3 | UnitedHealthcare node uhc chip medicaid tx facility · fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 4 | UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 5 | Molina node molina chip medicaid tx facility · per diem · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 6 | Superior Healthplan node superior star kids medicaid tx facility · fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 7 | Blue Cross Blue Shield bcbs tx blue adv facility · other · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 8 | UnitedHealthcare node uhc star plus medicaid tx facility · fee schedule · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 9 | Molina node molina star plus medicaid tx facility · per diem · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 10 | UnitedHealthcare node uhc star kids medicaid tx facility · other · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 11 | Humana node humana mcr adv facility · fee schedule · outpatient | $98 | $98 | $5 | 5% | — | $93 – $103 |
| 12 | Humana node wellmed humana mcr adv facility · fee schedule · outpatient | $98 | $98 | $5 | 5% | — | $93 – $103 |
| 13 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $98 | $98 | $5 | 5% | — | $93 – $103 |
| 14 | UnitedHealthcare node wellmed uhc mcr adv facility · fee schedule · outpatient | $98 | $98 | $5 | 5% | — | $93 – $103 |
| 15 | Tricare node tricare facility · fee schedule · outpatient | $100 | $100 | $5 | 5% | — | $95 – $105 |
| 16 | Aetna node aetna mcr adv facility · other · outpatient | $100 | $100 | $5 | 5% | — | $95 – $105 |
| 17 | Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient | $100 | $100 | $5 | 5% | — | $95 – $105 |
| 18 | Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient | $100 | $100 | $5 | 5% | — | $95 – $105 |
| 19 | Superior Healthplan node superior star medicaid tx facility · fee schedule · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 20 | Blue Cross Blue Shield bcbs tx blue choice options facility · other · outpatient | $169 | $169 | — | — | — | $169 – $169 |
| 21 | Blue Cross Blue Shield bcbs tx hmo facility · other · outpatient | $169 | $169 | — | — | — | $169 – $169 |
| 22 | Blue Cross Blue Shield bcbs tx ppo trad facility · other · outpatient | $181 | $181 | — | — | — | $181 – $181 |
| 23 | UnitedHealthcare uhc exchange facility · per diem · outpatient | $190 | $190 | $10 | 5% | — | $180 – $200 |
| 24 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $242 | $242 | — | — | — | $242 – $242 |
| 25 | UnitedHealthcare uhc health select facility · percent of total billed charges · outpatientfrom % of charges | $279 | $279 | — | — | — | $279 – $279 |
Last updated: Apr 1, 2026
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