X-ray, pelvis
Facility: Menorah Medical Center
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $134
- Cash Discount Price: $1,852
- vs. Medicare Baseline: 1.25x 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 |
|---|---|---|
| Multiplan | $30 - $1,370 | 28% |
| Blue Cross Blue Shield | $31 - $833 | 29% |
| Aetna | $33 - $944 | 31% |
| Humana | $33 - $42 | 31% |
| Corvel Corporation | $36 - $1,204 | 34% |
| Oha Network | $37 - $926 | 35% |
| United | $60 - $833 | 56% |
| Amerigroup | $60 | 56% |
| Healthyblue | $61 | 57% |
| Medicaid / KanCare | $62 | 58% |
| Unicare | $62 | 58% |
| Home State Health Plan | $95 | 89% |
| Cigna | $122 - $1,482 | 114% |
| Ambetter / Centene | $344 | 322% |
| Nhc Advantage | $352 | 330% |
| Wppa Providrs Care Network | $370 | 346% |
| Universal Healthcare | $648 | 607% |
| Coventry | $744 | 697% |
| Coventry Kc Mo | $759 | 711% |
| College Park Family Care Center | $796 | 745% |
| Cco, Inc. | $1,389 | 1300% |
| Focus Healthcare Mgmt, Inc | $1,389 | 1300% |
| Triwest Health Alliance | $1,389 | 1300% |
Consumer Guidance & Cost Commentary
For the X-ray, pelvis procedure (CPT 72170) at Menorah Medical Center in Overland Park, KS, the cash price is $1,852.00, which matches the facility's cash median. This rate is 130% higher than the Medicare benchmark of $106.81, indicating a significant markup above the federal government's cost-based reimbursement. While the facility offers a cash price, commercial insurance contracts often result in higher out-of-pocket costs for patients; for instance, the negotiated rate for United Health plans is $60, and for Cigna, it ranges from $122 to $1,482. Because insurance contracts include administrative overhead and do not reflect the true cost of care, paying cash upfront can sometimes be more economical than relying on in-network insurance, particularly for patients with high deductibles who may face bills exceeding the cash price.
Patients should proactively contact Menorah Medical Center to inquire about self-pay or prompt-pay discounts, which can reduce the $1,852.00 cash price by 20% to 50% when paid in full before or shortly after the service. It is critical to request a waiver of insurance submission at registration to prevent the hospital from automatically submitting claims that could void these cash discounts and trigger balance billing. Additionally, since over 80% of hospital bills contain errors, consumers should demand a full itemized statement before paying, ensuring no unbundled codes or services not rendered are included. By comparing the facility's rates directly to the Medicare benchmark rather than the inflated chargemaster list, patients can make informed decisions about whether to pay out-of-pocket