CMS Price Transparency Data

X-ray, pelvis

Facility: Decatur County Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $158
  • Cash Discount Price: $158
  • vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Decatur County Hospital is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $158. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.48x the Medicare baseline. Located in 1405 Nw Church Street, Leon, IA.
Cash / Self-Pay
$158

Average discount available for prompt cash payment at this facility.

Insurance Median
$158

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: $158 (148%)
Insurance Median: $158 (148%)
Cash: $158 (148% of Medicare)
Ins. Median: $158 (148% 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
Wellmark Hmo $60 56%
Blue Cross Blue Shield $63 59%
Wellmark Ppo - All Other Plans $65 61%
Champva -All Plans $89 83%
Everystep Hospice-All Plans $102 95%
Aetna $106 - $156 99%
Tricare $106 99%
UnitedHealthcare $118 - $167 110%
Benefit Admin System-All Plans $128 120%
Humana $144 135%
Meritain Health-All Plans $144 135%
Misc Commercial-All Plans $144 135%
All Savers-All Plans $148 139%
Allied Benefit System-All Plans $148 139%
American Family Ins Grp-All Plans $148 139%
Rural Carrier Benefit Plan-All Plans $152 142%
Christian Healthcare -All Plans $158 148%
Medica-All Other Plans $158 148%
Golden Rule-All Plans $167 156%
Ntca The Rural Broadband-All Plans $167 156%
Cigna $169 158%
Medical Mutual-All Plans $173 162%
Farm Bureau Financial-All Other Plans $177 166%
Farm Bureau Property And Ca $177 166%
Medi Share-All Plans $179 168%
Uhss-All Plans $179 168%
Health Partners-All Plans $181 169%
Lewermark-All Plans $187 175%
Mail Handlers Benefit-All Plans $193 181%
Midlands Choice-All Plans $193 181%
Priority Health-All Plans $197 184%
Iowa Total Care Mcaid-All Plans $201 188%
Amerigroup Mcaid-All Plans $207 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1405 Nw Church Street, Leon, IA 50144
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals