X-ray, pelvis
Facility: Centura St. Catherine-Dodge City
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $456
- Cash Discount Price: $277
- vs. Medicare Baseline: 4.27x 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 427% of the Medicare baseline (a markup of 327%). 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 |
|---|---|---|
| Cigna | $17 | 16% |
| Medicare (plans) | $17 | 16% |
| Aetna | $17 - $554 | 16% |
| Kaiser | $17 | 16% |
| Blue Cross Blue Shield | $17 - $149 | 16% |
| Humana | $17 | 16% |
| Kansas Health | $17 | 16% |
| Centura Employee Plan | $91 | 85% |
| UnitedHealthcare | $456 | 427% |
| Wpaa | $485 | 454% |
| Christian Health Aid | $554 | 519% |
| Multiplan | $554 - $623 | 519% |
| Health Partners Of Kansas | $623 | 583% |
Consumer Guidance & Cost Commentary
For the X-ray of the pelvis at Centura St. Catherine-Dodge City, the cash price of $277.00 is significantly lower than the facility's typical negotiated rates, which average $456.00 across payers. While Medicare sets a benchmark of $106.81 for this service, commercial insurance contracts often result in higher out-of-pocket costs for patients who have not met their deductibles. It is important to note that for patients with high-deductible plans, paying the cash price directly can sometimes be more affordable than relying on insurance, as the negotiated rate may exceed the cash price. Additionally, patients should verify if the facility offers "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed by bypassing administrative claim processing fees.
The facility's pricing structure reflects standard commercial dynamics where negotiated rates serve as a ceiling to protect in-network members, yet these rates often include administrative overhead that inflates the baseline cost. Although the facility is located in Dodge City, KS, and serves the 67801 zip code, the data provided does not include specific county or state average comparisons for this procedure. However, the wide variance in allowed amounts among payers—ranging from $17 for some plans to $623 for others—highlights the importance of checking individual plan details before scheduling. To ensure you are not overcharged, we recommend requesting a full itemized bill to review every code and service listed, as over 80% of hospital bills contain errors that can be corrected through a formal audit.