CMS Price Transparency Data

X-ray, pelvis

Facility: Madison County Health Care System

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $64
  • Cash Discount Price: $125
  • vs. Medicare Baseline: 0.60x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Madison County Health Care System is $64. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $125. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.60x the Medicare baseline. Located in 300 West Hutchings Street, Winterset, IA.
Cash / Self-Pay
$125

Average discount available for prompt cash payment at this facility.

Insurance Median
$64

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $125 (117%)
Insurance Median: $64 (60%)
Cash: $125 (117% of Medicare)
Ins. Median: $64 (60% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $8 - $175 7%
American Hp Mcr Adv-All Plans $8 - $121 7%
Choicecare-All Plans $8 - $256 7%
Medical Associates Hp - All Plans $8 - $116 7%
Medigold-All Plans $8 - $116 7%
Medimore Employee Hp - All Plans $8 - $264 7%
Tricare $8 - $116 7%
UnitedHealthcare $8 - $242 7%
Oscar - All Plans $13 - $174 12%
Blue Cross Blue Shield $16 - $65 15%
Madison County Sheriff-All Plans $22 - $134 21%
Corvel Wc-All Plans $40 - $242 37%
First Choice-All Plans $42 - $256 39%
First Health-All Plans $42 - $256 39%
Integrated Hp-All Plans $42 - $256 39%
Mutual Of Omaha-All Plans $42 - $256 39%
Plaines Health-All Plans $42 - $256 39%
Preferred Hlth Ntwork-All Plans $42 - $256 39%
Principal Healthcare-All Plans $42 - $256 39%
Usa Managed Care-All Plans $42 - $256 39%
Benefit Admin Of America-All Plans $44 - $269 41%
Iowa Total Care Mcaid-All Plans $44 - $126 41%
Molina Mcaid/Chip -All Plans $45 - $131 42%
Amerigroup Mcaid-All Plans $47 - $134 44%
Midlands Choice - All Plans $64 - $264 60%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 West Hutchings Street, Winterset, IA 50273
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals