X-ray, pelvis
Facility: Kansas Surgery & Recovery Center
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $97
- Cash Discount Price: $190
- vs. Medicare Baseline: 0.91x 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 |
|---|---|---|
| Aetna | $39 - $96 | 37% |
| Blue Cross Blue Shield | $96 | 90% |
| Triwest | $97 | 91% |
| UnitedHealthcare | $98 - $191 | 92% |
| Cigna | $191 | 179% |
Consumer Guidance & Cost Commentary
For the X-ray of the pelvis at Kansas Surgery & Recovery Center in Wichita, KS, the cash price is $190.00, which is nearly identical to the facility's gross charge of $191.00. While the facility's negotiated rates with major payers like UnitedHealthcare range from $98 to $191, and the median negotiated rate is $97.00, patients should be aware that cash payments can sometimes be more cost-effective if their insurance deductible is high or if the insurer's allowed amount exceeds the cash price. It is important to verify your specific plan's deductible status before scheduling, as paying out-of-pocket may result in a lower total cost than the insurance negotiated rate, which includes administrative overhead and contract dynamics that often inflate the baseline price.
This procedure's cash price of $190.00 is significantly higher than the state average for similar services, reflecting the facility's pricing structure for acute care hospitals. If you are concerned about balance billing or unexpected charges, remember that the No Surprises Act protects you from being billed the difference between the facility's full chargemaster rate and your insurance allowed amount for out-of-network providers at in-network facilities. To ensure you receive the most accurate billing, always request a full itemized CPT-coded bill before paying, as summary bills can obscure individual charges. Additionally, ask the billing department about prompt-pay discounts, which can reduce the total cost by 20% to 50% if you pay in full upfront, bypassing the costly claims processing cycle that insurance billing requires.