X-ray, pelvis
Facility: Wesley Medical Center
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $504
- Cash Discount Price: $2,914
- vs. Medicare Baseline: 4.72x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 472% of the Medicare baseline (a markup of 372%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| First Health | $36 - $1,343 | 34% |
| Multiplan | $37 - $2,623 | 35% |
| Aetna | $53 - $1,040 | 50% |
| UnitedHealthcare | $60 | 56% |
| Medicaid / KanCare | $62 | 58% |
| Amerigroup | $62 | 58% |
| Blue Cross Blue Shield | $145 | 136% |
| United | $245 - $1,311 | 229% |
| Health Partners Of Kansas | $504 - $1,457 | 472% |
| Wppa | $507 | 475% |
| Ambetter / Centene | $525 | 492% |
| Medical Associates Health Plan | $551 | 516% |
| Preferred Health Choices | $551 | 516% |
| Spirit Aerosystems | $932 | 873% |
| Triwest Healthcare Alliance | $1,894 | 1773% |
| Usa Managed Care | $2,477 | 2319% |
Consumer Guidance & Cost Commentary
For this X-ray of the pelvis at Wesley Medical Center in Wichita, KS, the cash price is $2,914.00, which matches the facility's median paid amount. While the facility's negotiated rates with insurance plans range from $36 to $2,623, patients should be aware that cash payments can sometimes be more cost-effective if their insurance negotiated rate exceeds the cash price. It is important to verify your specific plan's allowed amount before scheduling, as some in-network contracts may result in higher out-of-pocket costs than paying directly. Additionally, patients should inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront, bypassing the administrative overhead of insurance claims processing.
This service is benchmarked against the national Medicare rate of $106.81, showing a 4.7x markup, which is significantly higher than the typical 1.2x to 1.5x range considered fair. While the data does not provide specific Kansas or county averages for comparison, the wide variance in negotiated rates across 16 different payers—ranging from $36 with First Health to $2,477 with Usa Managed Care—highlights the importance of checking your specific plan's allowed amount. If you receive a bill after care, ensure you have an itemized statement showing every CPT code to identify any errors, unbundled charges, or services not rendered, as over 80% of hospital bills contain discrepancies that can be resolved through a formal audit dispute.