X-ray, pelvis
Facility: Saint Luke'S South Hospital
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $287
- Cash Discount Price: $492
- vs. Medicare Baseline: 2.69x 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 269% of the Medicare baseline (a markup of 169%). 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 |
|---|---|---|
| Humana | $20 - $34 | 19% |
| Aetna | $20 - $779 | 19% |
| Blue Cross Blue Shield | $23 - $616 | 22% |
| Transplants-Case Rates [5750] | $28 - $820 | 26% |
| UnitedHealthcare | $42 - $296 | 39% |
| Medicaid / KanCare | $60 - $136 | 56% |
| Cigna | $60 - $622 | 56% |
| Commercial-Contracted [8000] | $251 - $663 | 235% |
| First Health [5512] | $486 | 455% |
Consumer Guidance & Cost Commentary
For the CPT code 72170 (X-ray, pelvis) at Saint Luke's South Hospital in Overland Park, KS, the facility's cash median price of $492.00 is notably higher than the state average of $287.00, though it aligns closely with the county average of $287.00. While the hospital's gross charge is $820.00, patients should be aware that commercial negotiated rates often exceed cash prices due to administrative overhead and contract structures; for instance, Aetna's negotiated range spans from $20 to $779, and UnitedHealthcare's range is $42 to $296. If you have a high-deductible plan, paying the cash price of $492.00 upfront may be more cost-effective than relying on insurance, which could result in a negotiated rate that exceeds the cash amount once deductibles are met.
To maximize savings, we recommend contacting the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid in full before or shortly after service. Additionally, while Medicare sets a benchmark of $106.81 for this procedure, commercial rates typically range from 200% to 300% of this figure, so comparing your specific insurance allowed amount against the cash price is essential. If you receive a bill from an out-of-network provider or encounter unexpected charges, you have the right to request an itemized audit to identify errors or unbundled codes, and federal protections under the No Surprises Act may prevent balance