X-ray, pelvis
Facility: Labette Health
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $92
- Cash Discount Price: $147
- vs. Medicare Baseline: 0.86x 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 |
|---|---|---|
| Uhccp | $17 - $26 | 16% |
| Aetna | $24 | 22% |
| Kansas Superior Select | $26 - $101 | 24% |
| Montgomery County | $26 - $180 | 24% |
| Medicaid / KanCare | $61 - $98 | 57% |
| Healthy Blue | $61 - $93 | 57% |
| Multiplan | $92 - $318 | 86% |
| UnitedHealthcare | $98 - $325 | 92% |
| Humana | $98 | 92% |
| Blue Cross Blue Shield | $98 - $126 | 92% |
| Wellcare | $98 | 92% |
| Ambetter / Centene | $113 | 106% |
| Health Partners Of Kansas, Inc | $336 | 315% |
| Choicecare (First Health Network) | $336 | 315% |
Consumer Guidance & Cost Commentary
For this X-ray of the pelvis at Labette Health in Parsons, KS, the cash median price is $147.00, which is lower than the facility's gross charge of $211.00. While the facility is in-network for most major payers, the negotiated rates vary significantly, ranging from $17 to $336 depending on the insurance plan. For example, plans like Uhccp and Aetna have negotiated rates between $17 and $26, whereas Multiplan and UnitedHealthcare have rates starting at $92 and $98 respectively. Patients with high-deductible plans may find that paying the cash median of $147.00 upfront is more cost-effective than using insurance, as the negotiated allowed amounts for many commercial payers exceed this cash price. Additionally, patients should inquire about prompt-pay discounts, which can offer a fee reduction of 20% to 50% for upfront payment, potentially bringing the final cost even lower than the listed cash median.
The facility's pricing is benchmarked against the Medicare rate of $106.81, with the cash median representing a 32% markup over this federal baseline. While the data does not provide specific state or county average comparisons for this specific CPT code, the wide variance in negotiated rates across the 14 participating payers highlights the importance of verifying your specific plan's allowed amount before scheduling. To ensure you receive the most accurate pricing, it is recommended to request an itemized bill that breaks down the CPT code and any ancillary services, as summary bills may obscure individual charges. Finally, if you are billed for services rendered by out-of