X-ray, pelvis
Facility: Kansas City Orthopaedic Institute
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $98
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.92x 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 |
|---|---|---|
| Blue Cross Blue Shield | $27 - $281 | 25% |
| Cigna | $54 - $220 | 51% |
| UnitedHealthcare | $98 - $191 | 92% |
| Aetna | $98 | 92% |
| Medica | $201 | 188% |
Consumer Guidance & Cost Commentary
For the X-ray of the pelvis at Kansas City Orthopaedic Institute in Leawood, KS, the facility's negotiated rates with major insurers like Blue Cross Blue Shield and Cigna range from $54 to $281, while the median negotiated amount across all payers is $98. This commercial pricing structure is significantly higher than the Medicare benchmark of $106.81, indicating a markup typical of in-network contracts that include administrative processing costs. For patients with high-deductible plans, the cash price for this service is notably lower than the insurance negotiated rates; however, since the cash median is not available in this dataset, patients should verify current cash-pay or self-pay rates directly with the hospital to determine if paying out-of-pocket upfront would result in immediate savings compared to their insurance allowed amount.
The facility, which is physician-owned and located in Leawood, offers a median negotiated rate of $98, which aligns closely with the lowest end of the Blue Cross Blue Shield range but remains above the Aetna fixed rate of $98. While the data does not provide specific county or state average comparisons for this specific CPT code, the presence of a Medicare benchmark allows for a clear evaluation of the facility's pricing relative to federal cost standards. To minimize potential balance billing or unexpected charges, patients should request an itemized bill before scheduling and explicitly ask for prompt-pay discounts or self-pay reductions, as these upfront incentives can bypass the standard insurance billing cycle and reduce the total cost significantly.