X-ray, pelvis
Facility: University Of Kansas Hospital
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $165
- Cash Discount Price: $121
- vs. Medicare Baseline: 1.54x 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 |
|---|---|---|
| Larned State Hospital [503200090] | $58 - $299 | 54% |
| Hchsync Centrus Health Direct [503999916] | $59 - $355 | 55% |
| Health Plan Inc [503999941] | $93 - $476 | 87% |
| Alt Carelon Behavioral Health [503200905] | $98 - $506 | 92% |
| Tricare | $98 | 92% |
| Triwest [503201703] | $98 | 92% |
| UnitedHealthcare | $98 - $156 | 92% |
| Ku Athletics [503200094] | $98 | 92% |
| Accarent Health [503999034] | $98 - $506 | 92% |
| Lasso Healthcare [503999926] | $98 | 92% |
| Medicare (plans) | $98 - $100 | 92% |
| Devoted [503200068] | $98 | 92% |
| Workers Comp [503999901] | $98 - $962 | 92% |
| Aetna | $98 - $137 | 92% |
| Humana | $98 - $100 | 92% |
| Blue Cross Blue Shield | $101 - $777 | 95% |
| Allwell [503200078] | $101 | 95% |
| American Health Plans [503200968] | $102 | 95% |
| Oscar [503201609] | $117 | 110% |
| Allied National [503999937] | $118 - $608 | 110% |
| Php [503200005] | $118 - $749 | 110% |
| Med-Pay [503200040] | $119 - $614 | 111% |
| Inter-Americas Insurance [503999032] | $119 - $614 | 111% |
| Alt Wppa [5032000964] | $119 - $614 | 111% |
| Healthlink [503200007] | $119 - $749 | 111% |
| Geha [503200036] | $119 - $614 | 111% |
| Cerner [503200038] | $119 - $614 | 111% |
| Centurion [5032000966] | $127 | 119% |
| Aha-Healthcare Preferred [503200050] | $130 - $668 | 122% |
| First Health [5032000110] | $130 - $668 | 122% |
| Consolidated Billing [50311256] | $138 - $709 | 129% |
| Correct Care Solutions [50311253] | $138 - $709 | 129% |
| Coeur Plan Services [503301517] | $138 - $709 | 129% |
| Ascension Living Hope [503201517] | $138 - $709 | 129% |
| Orscheln Industries [503201608] | $148 - $760 | 139% |
| Empire Plan/Nyship [503200705] | $151 - $777 | 141% |
| Alt Lineco [5032000976] | $151 - $777 | 141% |
| Alt Lucent Health Solutions [503202603] | $151 - $777 | 141% |
| Quiktrip [5032000412] | $158 - $810 | 148% |
| Point Comfort Underwriters [503200018] | $158 - $810 | 148% |
| Century Health Solutions [503200054] | $158 - $810 | 148% |
| Cigna | $158 - $810 | 148% |
| Centivo [5032000982] | $161 | 151% |
| Wellfit [503301514] | $161 | 151% |
| Wppa [503200056] | $165 - $851 | 154% |
| Meritain Health [503200039] | $165 - $851 | 154% |
| Ambetter / Centene | $166 | 155% |
| 6 Degrees Health [503999050] | $171 - $244 | 160% |
| Usa Managed Care [503999030] | $177 - $912 | 166% |
| Sanford Health Plan [503999027] | $177 - $912 | 166% |
| Three Rivers Provider Network [503999029] | $177 - $912 | 166% |
| Plan Care America [503999026] | $177 - $912 | 166% |
| Employers Health Network [503999025] | $177 - $912 | 166% |
| Fort Hays State Student Athletes [5032000960] | $205 | 192% |
| Occunet [503999930] | $205 | 192% |
| Multiplan [503200057] | $264 | 247% |
| Claimdoc [503301509] | $264 | 247% |
| Advanced Medical Pricing Solutions [503301513] | $293 | 274% |
Consumer Guidance & Cost Commentary
For the X-ray, pelvis procedure (CPT 72170) at University Of Kansas Hospital, the cash price is $121.00, which is significantly lower than the facility's gross charge of $605.00. While the hospital's negotiated rates for in-network payers range from $58 to $962, the cash price remains the most affordable option for patients without insurance. It is important to note that for individuals with high-deductible plans, paying the cash price upfront can be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount. Patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final bill by bypassing administrative claim processing fees.
This facility's pricing is benchmarked against the national average, with the cash price of $121.00 being 1.5 times the Medicare amount of $106.81. Although the facility is located in Kansas City, KS, and serves the 66160 zip code, the provided data does not include specific county or state average comparisons for this procedure. Given that over 80% of hospital bills contain errors, patients should request a detailed, itemized statement rather than accepting a summary bill. If a balance bill is received from an out-of-network provider, the No Surprises Act may protect the patient from paying the difference, so it is advisable to dispute any unexpected charges with the insurer rather than paying immediately.