X-ray, pelvis
Facility: Pratt Regional Medical Center
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $67
- Cash Discount Price: $47
- vs. Medicare Baseline: 0.63x 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 |
|---|---|---|
| Christian Health Aid | $29 - $272 | 27% |
| UnitedHealthcare | $32 - $370 | 30% |
| Health Partners Of Kansas | $33 - $309 | 31% |
| Aetna | $35 - $327 | 33% |
| Choicecare | $39 - $363 | 37% |
| Celtic Insurance Company | $102 | 95% |
| Healthy Blue | $105 | 98% |
Consumer Guidance & Cost Commentary
For the X-ray, pelvis procedure (CPT 72170) at Pratt Regional Medical Center in Pratt, KS, the facility's cash median price is $47.00, which is lower than the negotiated rates paid by major insurers like UnitedHealthcare ($32–$370) and Aetna ($35–$327). While the facility's cash price is significantly below the gross chargemaster of $67.00, patients with high-deductible plans may find that paying cash upfront is more cost-effective than relying on insurance, as the negotiated rates often exceed the cash price. The facility offers a 4-star rating and is a Proprietary Acute Care Hospital, and patients should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling to ensure they receive the lowest possible rate.
When comparing this service to broader benchmarks, the Medicare amount for this procedure is $106.81, which serves as a reliable baseline for evaluating fair pricing. Although the data does not provide specific state or county average figures for this exact code, the facility's cash rate of $47.00 is notably lower than the Medicare benchmark, suggesting a potential opportunity for cost savings. Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, it is crucial to verify network status and request an itemized bill to avoid unexpected charges. If a balance bill arises, patients should dispute it in writing with the insurer rather than paying immediately, and always review their deductible status before assuming insurance will cover the full negotiated amount.