CMS Price Transparency Data

X-ray, pelvis

Facility: Kosciusko Community Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $47
  • Cash Discount Price: $21
  • vs. Medicare Baseline: 0.44x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Kosciusko Community Hospital is $47. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.44x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$21

Average discount available for prompt cash payment at this facility.

Insurance Median
$47

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: $21 (20%)
Insurance Median: $47 (44%)
Cash: $21 (20% of Medicare)
Ins. Median: $47 (44% 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
Amish Aid $5 - $143 5%
Self Pay $5 - $266 5%
Lutheran Preferred Network $8 - $545 7%
Php Freedom Network $9 - $263 8%
Physicians Health Plan $9 - $314 8%
UnitedHealthcare $9 - $358 8%
Aetna $10 - $362 9%
Encore $10 - $272 9%
Trma Inc $10 - $306 9%
Connecticut General Life Insurance Company $14 - $401 13%
Cigna $15 - $430 14%
First Health Network $18 - $511 17%
Prime Health Services $18 - $511 17%
Advantage Health $20 - $565 19%
Private Healthcare Systems $21 - $586 20%
Sagamore $21 - $640 20%
Encore Health Network $22 - $633 21%
Veterans Eval Services $24 - $97 22%
One Call Care Diagnostics Wc $26 24%
Caresource $41 - $54 38%
Blue Cross Blue Shield $54 - $455 51%
Humana $54 - $117 51%
Managed Health Services $54 51%
Medicaid / KanCare $54 51%
Mhs $54 - $117 51%
Tricare $105 98%
Department Of Veterans Affairs $111 104%
Medicare (plans) $117 110%
Iu Health $118 110%
Node Non Par Hospice Agree $118 110%
Node Va $118 110%
Node Devoted Health Mcr Adv $119 111%
In Dept Of Correction $123 115%
Node Pphp Mcr Adv $124 116%
Us Department Of Labor $148 139%
Lutheran Advanced Network $178 167%
Lutheran Preferred $178 - $237 167%
Align In Work Comp $190 178%
One Call Work Comp $190 178%
Encore Work Comp In $213 199%
Managed Health Services Exchange $237 222%
Workers Comp $237 222%
Encore Kba Epo $284 266%
Encore Kba Ppo $355 332%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals