X-ray, pelvis
Facility: Saint John Hospital
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $98
- Cash Discount Price: $98
- vs. Medicare Baseline: 0.92x 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 |
|---|---|---|
| Comp Alliance Workers Comp | $34 | 32% |
| Oha Networks | $36 | 34% |
| Aetna | $37 - $98 | 35% |
| Worker Compensation | $38 | 36% |
| Medicaid / KanCare | $60 | 56% |
| Blue Cross Blue Shield | $63 - $133 | 59% |
| UnitedHealthcare | $91 - $138 | 85% |
| Healthy Blue | $93 - $103 | 87% |
| Celtic | $93 - $158 | 87% |
| Midland Care Connection | $98 | 92% |
| Cigna | $98 | 92% |
| Tricare | $98 | 92% |
| Medicare (plans) | $98 | 92% |
| Kansas Superior Select | $100 | 94% |
| Well Path | $138 | 129% |
| Employer Direct Healthcare | $138 | 129% |
| Corizon | $138 | 129% |
| Centurion | $148 | 139% |
| Naphcare | $153 | 143% |
Consumer Guidance & Cost Commentary
For the X-ray, pelvis procedure (CPT 72170) at Saint John Hospital in Leavenworth, KS, the cash median price is $98.00, which is significantly lower than the facility's negotiated rates ranging from $34.00 to $153.00 across various payers. While the facility's cash rate is notably lower than the gross charge of $835.00, it is important to note that commercial negotiated rates often exceed cash prices due to administrative overhead and contract structures. Patients with high-deductible plans may find paying the cash price upfront more cost-effective than relying on insurance, as the negotiated allowed amounts for many payers, such as UnitedHealthcare and Celtic, can be substantially higher than the cash rate. Additionally, the facility offers a prompt-pay discount for upfront payments, which can further reduce the final bill by bypassing costly insurance claims processing.
When evaluating this price against broader benchmarks, the Medicare amount for this service is $106.81, serving as a scientifically validated baseline for the true cost of care. The facility's cash rate of $98.00 is slightly below the Medicare benchmark, whereas the median negotiated rate of $98.00 aligns closely with it, suggesting the facility is pricing competitively relative to federal standards. It is crucial for patients to verify their specific plan details before scheduling, as assuming in-network status guarantees the lowest price can lead to unexpected costs if the deductible has not been met. To ensure you are receiving the best possible rate, we recommend requesting a self-pay or prompt-pay classification at registration and obtaining a full itemized bill to confirm all charges are accurate and