CMS Price Transparency Data

X-ray, pelvis

Facility: Washington County Hospital and Clinics

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $74
  • Cash Discount Price: $135
  • vs. Medicare Baseline: 0.69x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Washington County Hospital and Clinics is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $135. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.69x the Medicare baseline. Located in 400 East Polk Street, Washington, IA.
Cash / Self-Pay
$135

Average discount available for prompt cash payment at this facility.

Insurance Median
$74

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: $135 (126%)
Insurance Median: $74 (69%)
Cash: $135 (126% of Medicare)
Ins. Median: $74 (69% 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
Ambetter / Centene $17 16%
Aetna $23 - $158 22%
Midlands Choice - All Plans $28 26%
Health Alliance Mcr Adv $72 67%
Med Assoc Mcr Adv $72 67%
Blue Cross Blue Shield $73 - $140 68%
Healthpartners Mcr Adv $73 68%
Humana $73 68%
Ia Total Care Wellcare Mcr Adv $74 69%
Molina Mcr Adv - All Other Plans $74 69%
Wellpoint Mcr Adv Amerigrp - All Other Plans $74 69%
Ia Total Care Mcaid $76 71%
Medicaid / KanCare $76 71%
Wellpoint Mcaid Amerigrp $76 71%
Healthpartners - All Other Plans $153 143%
Health Alliance Comm - All Other Plans $171 160%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 East Polk Street, Washington, IA 52353
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals