CMS Price Transparency Data

X-ray, pelvis

Facility: Kossuth Regional Health Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $169
Cash Discount Price: $178
vs. Medicare Baseline: 1.58x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Kossuth Regional Health Center is $169. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $178. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.58x the Medicare baseline. Located in 1515 South Phillips Street, Algona, IA.

Cash / Self-Pay

$178

Average discount available for prompt cash payment at this facility.

Insurance Median

$169

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: $178 (167%)

Insurance Median: $169 (158%)

Cash: $178 (167% of Medicare)

Ins. Median: $169 (158% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$69 - $76	65%
Mercy One - All Plans	$84	79%
Va Ccn - All Plans	$84	79%
Humana	$85	80%
Amerigroup Mcr Adv - All Other Plans	$86	81%
UnitedHealthcare	$87 - $168	81%
Health Partners New Bus - All Other Plans	$155	145%
Midlands Choice - All Plans	$155	145%
Medical Associates - All Plans	$189	177%
Preferred Health - All Plans	$189	177%
Aetna	$206 - $215	193%
Multiplan - All Plans	$211	198%
Health Partners Exisiting Bus	$215	201%
Molina Mcaid/Chip - All Plans	$229	214%
Amerigroup Mcaid	$231	216%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $178.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72170.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Kossuth Regional Health Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72170.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.