X-ray, pelvis
Facility: Kansas Heart Hospital
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $135
- Cash Discount Price: $94
- vs. Medicare Baseline: 1.26x 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 |
|---|---|---|
| Wppa - All Plans | $60 | 56% |
| Tricare | $87 | 81% |
| Blue Cross Blue Shield | $95 - $150 | 89% |
| Celtic Mcr Adv | $96 | 90% |
| Humana | $96 | 90% |
| UnitedHealthcare | $96 - $150 | 90% |
| Medicaid / KanCare | $96 - $150 | 90% |
| Multiplan - All Plans | $135 | 126% |
| Aetna | $146 - $150 | 137% |
| Celtic Mcaid - All Other Plans | $150 | 140% |
| Soonerselect Mcaid - All Plans | $150 | 140% |
Consumer Guidance & Cost Commentary
For the CPT code 72170 (X-ray, pelvis) at Kansas Heart Hospital in Wichita, KS, the facility's cash median rate of $94.00 is lower than the state average of $97.00, making it a potentially cost-effective option for self-pay patients. While the facility's gross charge is $150.00, commercial insurance negotiated rates vary significantly, ranging from $60.00 for Wppa - All Plans to $150.00 for Celtic Mcaid - All Other Plans. Patients with high-deductible plans should consider that paying the cash price of $94.00 upfront could result in immediate savings compared to the higher negotiated rates often applied by insurers like UnitedHealthcare and Blue Cross Blue Shield, which have allowed amounts up to $150.00. It is important to verify your specific plan's deductible status and ask the hospital directly about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can further reduce the final cost.
When reviewing your bill, be aware that commercial insurance rates are often inflated by administrative overhead and contractual structures, sometimes reaching 200% to 300% of the Medicare benchmark rate of $106.81, whereas fair pricing is typically defined as 120% to 150% of this baseline. If you receive a bill from an out-of-network provider or encounter unexpected charges, you may be facing balance billing, where the provider bills you for the difference between their full chargemaster rate and what your insurance allowed. Under the No Surprises Act, balance billing for emergency care