CMS Price Transparency Data

X-ray, pelvis

Facility: Saint John Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $98
  • Cash Discount Price: $98
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Saint John Hospital is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $98. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.92x the Medicare baseline. Located in 3500 South 4Th Street, Leavenworth, KS.
Cash / Self-Pay
$98

Average discount available for prompt cash payment at this facility.

Insurance Median
$98

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: $98 (92%)
Insurance Median: $98 (92%)
Cash: $98 (92% of Medicare)
Ins. Median: $98 (92% 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
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

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3500 South 4Th Street, Leavenworth, KS 66048
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals