X-ray, pelvis
Facility: Mercy Hospital Pittsburg, Inc
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $105
- Cash Discount Price: $212
- vs. Medicare Baseline: 0.98x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $16 - $104 | 15% |
| Humana | $16 - $102 | 15% |
| Aetna | $16 - $277 | 15% |
| Blue Cross Blue Shield | $60 - $160 | 56% |
| UnitedHealthcare | $91 - $220 | 85% |
| Cross Timbers Hospice [20098] | $102 | 95% |
| Mercy Hospice Okc [20252] | $102 | 95% |
| American Health Advantage Of Ks Mcr Contracted [320508] | $102 | 95% |
| Tricare | $102 | 95% |
| Pace Of The Ozarks Contracted [320518] | $102 | 95% |
| Halo Hcr Inc Hospice Contracted [320432] | $102 | 95% |
| Halo Hcr Inc Hospice [20432] | $102 | 95% |
| Elara Caring Aspire Hospice [20433] | $102 | 95% |
| Kindful Hospice [20434] | $102 | 95% |
| Dept Of Veteran Affairs Contracted [320106] | $102 | 95% |
| Kindful Hospice Contracted [320434] | $102 | 95% |
| Medicare (plans) | $102 - $106 | 95% |
| Home State Health Plan Contracted [320187] | $104 | 97% |
| Ambetter / Centene | $104 | 97% |
| Medica Contracted [320239] | $119 | 111% |
| Providrs Care Network Contracted [320484] | $197 | 184% |
| United Medical Resources Contracted [320454] | $220 | 206% |
| Health Choice Contracted [320166] | $239 | 224% |
| Auxiant Contracted [320462] | $261 | 244% |
| Workers Comp [20426] | $261 | 244% |
| Healthlink Contracted [320179] | $261 | 244% |
| Aither Health Contracted [320449] | $261 | 244% |
| Reflect Health Contracted [320492] | $261 | 244% |
| Mercy Benefit Admin Contracted [320251] | $261 | 244% |
| Edison Health Solutions Contracted [320502] | $261 | 244% |
| Imagine 360 Contracted [320494] | $261 | 244% |
| Yuzu Health Contracted [320521] | $261 | 244% |
| American Healthcare Alliance Contracted [320020] | $261 | 244% |
| Ebms Contracted [320493] | $261 | 244% |
| First Health Contracted [320128] | $277 | 259% |
| Cigna | $455 - $467 | 426% |
Consumer Guidance & Cost Commentary
For the X-ray, pelvis procedure (CPT 72170) at Mercy Hospital Pittsburg, Inc, the facility's cash price of $212.00 is lower than the median negotiated rate of $105.00 paid by most commercial payers, including Humana, Aetna, and Blue Cross Blue Shield. While the facility's cash rate is also below the gross charge of $326.00, patients with high-deductible plans may find paying out-of-pocket directly more cost-effective than relying on insurance, which often results in higher allowed amounts due to administrative overhead and contract structures. The facility offers a voluntary non-profit, church-owned status and is located in Pittsburg, KS (ZIP 66762), with a facility rating of 3.
To minimize unexpected costs, patients should verify their specific plan's allowed amount before scheduling, as commercial rates vary significantly across the 36 payers listed, ranging from $16 to $467. If a patient receives care from an out-of-network provider or encounters services billed at the full chargemaster rate, they may be subject to balance billing, though the No Surprises Act protects against surprise bills for emergency care and non-emergency services at in-network facilities. Additionally, patients should request an itemized bill to review every line item for errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies that can be corrected through a formal written audit dispute.