X-ray, pelvis
Facility: Kansas Medical Center Llc
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $87
- Cash Discount Price: $100
- vs. Medicare Baseline: 0.81x 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 | $35 | 33% |
| Medicaid / KanCare | $60 | 56% |
| Wppa | $67 | 63% |
| United | $84 | 79% |
| Tricare | $87 | 81% |
| Indian Health | $87 | 81% |
| Medadv_Wellcare | $96 | 90% |
| Blue Cross Blue Shield | $96 - $121 | 90% |
| Ambetter / Centene | $96 | 90% |
| Humana | $96 | 90% |
| Three_Rivers | $193 | 181% |
Consumer Guidance & Cost Commentary
For the X-ray of the pelvis at Kansas Medical Center Llc in Andover, KS, the facility's cash price is $100.00, which is lower than the median negotiated rate of $139.00 paid by insurers. While the facility's negotiated rate of $87.00 is below the gross charge, it is still higher than the cash option. Patients with high-deductible plans or those without insurance may find the cash price more affordable than their insurance allowed amount, as commercial contracts often include administrative overhead that inflates the final bill. It is important to verify your specific plan's deductible status before scheduling, as paying the full negotiated rate without meeting your deductible can result in significant out-of-pocket costs.
The Medicare benchmark for this service is $106.81, which serves as a reliable baseline for evaluating the facility's pricing. The facility's cash rate of $100.00 is slightly below the Medicare amount, suggesting a competitive price point compared to the federal standard. However, the gross charge of $166.00 represents the full list price before any discounts, and patients should be aware that balance billing could occur if they are out-of-network, though the No Surprises Act protects against surprise bills for emergency care at in-network facilities. To minimize costs, patients should explicitly request a self-pay or prompt-pay discount at registration, as these upfront payment incentives can bypass the administrative fees associated with insurance claims processing.