X-ray, pelvis
Facility: St. Catherine Hospital - Garden City
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $123
- Cash Discount Price: $226
- vs. Medicare Baseline: 1.15x 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 |
|---|---|---|
| Aetna | $17 - $235 | 16% |
| Medicare (plans) | $17 - $20 | 16% |
| Blue Cross Blue Shield | $17 - $150 | 16% |
| Kansas Health | $17 | 16% |
| Kaiser | $17 - $234 | 16% |
| Humana | $17 - $20 | 16% |
| UnitedHealthcare | $17 - $245 | 16% |
| Cigna | $17 - $127 | 16% |
| Innovage | $20 | 19% |
| Devoted Health | $20 | 19% |
| Direct To Employer | $75 - $340 | 70% |
| Centura Employee Plan | $91 | 85% |
| Peak Health | $99 - $332 | 93% |
| Multiplan | $134 - $724 | 125% |
| Wpaa | $196 | 184% |
| Denver Health | $201 | 188% |
| Christian Health Aid | $224 | 210% |
| United Colorado Doctor'S Plan | $245 | 229% |
| Health Partners Of Kansas | $271 | 254% |
Consumer Guidance & Cost Commentary
For the X-ray of the pelvis at St. Catherine Hospital in Garden City, Kansas, the cash price is $226, which is significantly lower than the facility's gross charge of $565. While the hospital's negotiated rates with major insurers like UnitedHealthcare and Aetna range from $17 to $245, these amounts are often higher than the cash price due to administrative costs and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the $226 rate is lower than many insurance negotiated rates. To secure the best possible price, it is recommended to ask the hospital about self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can further reduce the total cost.
When comparing this service to broader market benchmarks, the facility's cash rate of $226 is notably higher than the state average for this procedure, though it remains below the gross chargemaster. The Medicare benchmark for this code is $106.81, which serves as a reliable baseline for evaluating pricing fairness; commercial negotiated rates typically range from 120% to 300% of this amount, and this facility's rates fall within that spectrum. If you receive a bill that includes charges for services not rendered or unbundled components, you should request a full itemized audit to identify errors, as over 80% of hospital bills contain inaccuracies. Additionally, under the No Surprises Act, you are protected from balance billing for out-of-network services at in-network facilities, so any unexpected bills should be disputed immediately with your insurer rather than paid in full.