CPT 72170
The standard charge for X-ray Pelvis, 1-2 Views is $314.00. However, the price you pay depends on the rate negotiated by your insurance plan and what portion your insurance plan requires you to contribute towards that amount. Enter your info below to start your estimate.
To calculate an estimate of your cost, you will need two things:
LOCATION
1805 27th Street, Portsmouth, OH, 45662CONTACT
740-356-7602 Visit WebsiteSouthern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.
In compliance with federal law, Southern Ohio Medical Center provides a list of standard charges. These are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient’s unique needs.
I understand that the list of standard charges includes only hospital services and does not contain professional fees for non-Southern Ohio Medical Center physicians or advanced practice providers. It does not contain professional fees for anesthesia, physicians or advanced practice providers.
I understand that a single line item charge may not represent a complete medical service. In general, multiple charge line items are necessary to represent all components of a service (e.g. procedures, supplies, and drugs).
I understand that the list of standard charges is not intended for media use.
I understand prices are the list price of all hospital charges and not necessarily what my insurance company will pay or what I will owe to the hospital. My actual bill may include one or more of list price charges.
The hospital typically accepts a rate that is less than the list charges. Your insurer will determine what you will owe after they have paid their agreed upon amount.
We know that the billing and payment processes may seem overwhelming at times. Please contact our team at 740-356-7602.
Choose a plan to view the insurance rate estimate.
Total estimated charges
$314.00Insurance Discount
-$72.22Price Negotiated by Insurer
$241.78Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CT BRAIN/HEAD W/O CONTRAST(T
$1,837.99CT CERVICAL SPINE W/O CONTRAST
$1,837.99This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$314.00Insurance Discount
-$206.02Price Negotiated by Insurer
$107.98Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CT BRAIN/HEAD W/O CONTRAST(T
$820.89CT CERVICAL SPINE W/O CONTRAST
$820.89This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$314.00Insurance Discount
-$215.74Price Negotiated by Insurer
$98.26Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CT BRAIN/HEAD W/O CONTRAST(T
$98.26CT CERVICAL SPINE W/O CONTRAST
$98.26RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW
$81.36This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$314.00Insurance Discount
-$69.08Price Negotiated by Insurer
$244.92Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CT BRAIN/HEAD W/O CONTRAST(T
$1,861.86CT CERVICAL SPINE W/O CONTRAST
$1,861.86This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$314.00Insurance Discount
-$176.44Price Negotiated by Insurer
$137.56Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CT BRAIN/HEAD W/O CONTRAST(T
$137.56CT CERVICAL SPINE W/O CONTRAST
$137.56RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW
$113.90This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$314.00Insurance Discount
-$181.35Price Negotiated by Insurer
$132.65Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CT BRAIN/HEAD W/O CONTRAST(T
$132.65CT CERVICAL SPINE W/O CONTRAST
$132.65RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW
$109.84This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$314.00Insurance Discount
-$157.00Price Negotiated by Insurer
$157.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CT BRAIN/HEAD W/O CONTRAST(T
$1,193.50CT CERVICAL SPINE W/O CONTRAST
$1,193.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$314.00Insurance Discount
-$53.38Price Negotiated by Insurer
$260.62Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CT BRAIN/HEAD W/O CONTRAST(T
$1,981.21CT CERVICAL SPINE W/O CONTRAST
$1,981.21This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$314.00Insurance Discount
-$15.70Price Negotiated by Insurer
$298.30Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CT BRAIN/HEAD W/O CONTRAST(T
$2,267.65CT CERVICAL SPINE W/O CONTRAST
$2,267.65This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$314.00Insurance Discount
-$47.10Price Negotiated by Insurer
$266.90Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CT BRAIN/HEAD W/O CONTRAST(T
$2,028.95CT CERVICAL SPINE W/O CONTRAST
$2,028.95This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$314.00Insurance Discount
-$206.02Price Negotiated by Insurer
$107.98Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CT BRAIN/HEAD W/O CONTRAST(T
$820.89CT CERVICAL SPINE W/O CONTRAST
$820.89This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$314.00Insurance Discount
-$215.74Price Negotiated by Insurer
$98.26Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CT BRAIN/HEAD W/O CONTRAST(T
$98.26CT CERVICAL SPINE W/O CONTRAST
$98.26RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW
$81.36This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$314.00Insurance Discount
-$204.92Price Negotiated by Insurer
$109.08Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CT BRAIN/HEAD W/O CONTRAST(T
$829.24CT CERVICAL SPINE W/O CONTRAST
$829.24This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$314.00Insurance Discount
-$56.52Price Negotiated by Insurer
$257.48Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CT BRAIN/HEAD W/O CONTRAST(T
$1,957.34CT CERVICAL SPINE W/O CONTRAST
$1,957.34This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$314.00Insurance Discount
-$82.27Price Negotiated by Insurer
$231.73Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CT BRAIN/HEAD W/O CONTRAST(T
$1,761.61CT CERVICAL SPINE W/O CONTRAST
$1,761.61This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$314.00Insurance Discount
-$196.09Price Negotiated by Insurer
$117.91Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CT BRAIN/HEAD W/O CONTRAST(T
$117.91CT CERVICAL SPINE W/O CONTRAST
$117.91RADIOLOGIC EXAMINATION, CHEST; SINGLE VIEW
$97.63This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$314.00Insurance Discount
-$203.85Price Negotiated by Insurer
$110.15Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CT BRAIN/HEAD W/O CONTRAST(T
$837.36CT CERVICAL SPINE W/O CONTRAST
$837.36This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$314.00Insurance Discount
-$37.68Price Negotiated by Insurer
$276.32Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CT BRAIN/HEAD W/O CONTRAST(T
$2,100.56CT CERVICAL SPINE W/O CONTRAST
$2,100.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$314.00Insurance Discount
-$78.50Price Negotiated by Insurer
$235.50Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CT BRAIN/HEAD W/O CONTRAST(T
$1,790.25CT CERVICAL SPINE W/O CONTRAST
$1,790.25This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$314.00Insurance Discount
-$62.80Price Negotiated by Insurer
$251.20Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CT BRAIN/HEAD W/O CONTRAST(T
$1,909.60CT CERVICAL SPINE W/O CONTRAST
$1,909.60This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$314.00Insurance Discount
-$40.82Price Negotiated by Insurer
$273.18Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CT BRAIN/HEAD W/O CONTRAST(T
$2,076.69CT CERVICAL SPINE W/O CONTRAST
$2,076.69This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$314.00Insurance Discount
-$97.34Price Negotiated by Insurer
$216.66Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CT BRAIN/HEAD W/O CONTRAST(T
$1,647.03CT CERVICAL SPINE W/O CONTRAST
$1,647.03This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$314.00Insurance Discount
-$12.56Price Negotiated by Insurer
$301.44Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CT BRAIN/HEAD W/O CONTRAST(T
$2,291.52CT CERVICAL SPINE W/O CONTRAST
$2,291.52This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.
Total estimated charges
$314.00Insurance Discount
-$37.68Price Negotiated by Insurer
$276.32Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
CT BRAIN/HEAD W/O CONTRAST(T
$2,100.56CT CERVICAL SPINE W/O CONTRAST
$2,100.56This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Southern Ohio Medical Center so that your price and insurance eligibility can be confirmed.
To verify this rate and discuss any other associated charges to expect, please contact Southern Ohio Medical Center directly at 740-356-7602.