CMS Price Transparency Data

X-ray, pelvis

Facility: Mercy Hospital Pittsburg, Inc

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $105
  • Cash Discount Price: $212
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Mercy Hospital Pittsburg, Inc is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $212. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.98x the Medicare baseline. Located in 1 Mt Carmel Way, Pittsburg, KS.
Cash / Self-Pay
$212

Average discount available for prompt cash payment at this facility.

Insurance Median
$105

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: $212 (198%)
Insurance Median: $105 (98%)
Cash: $212 (198% of Medicare)
Ins. Median: $105 (98% 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
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.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Mt Carmel Way, Pittsburg, KS 66762
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals