CMS Price Transparency Data

X-ray, pelvis

Facility: Via Christi Hospital Wichita St Teresa, Inc

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $99
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Via Christi Hospital Wichita St Teresa, Inc is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.93x the Medicare baseline. Located in 14800 West Teresa St, Wichita, KS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$99

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Insurance Median: $99 (93%)
Ins. Median: $99 (93% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Coventry City Of Wichita $46 43%
Aetna $63 59%
Humana $98 92%
Va $98 92%
Vc Hope $98 92%
Saint Lukes Health Systems $98 92%
Medicare (plans) $98 - $100 92%
Via Christi Research $98 92%
Blue Cross Blue Shield $100 94%
UnitedHealthcare $100 - $275 94%
Corizon $123 115%
Smarthealth $138 129%
Medicaid / KanCare $167 156%

Consumer Guidance & Cost Commentary

For the CPT code 72170 (X-ray, pelvis) at Via Christi Hospital Wichita St Teresa, Inc, the negotiated rates range from $46 to $275 depending on the insurance carrier, with a median negotiated amount of $99.00. These commercial rates are significantly higher than the Medicare benchmark of $106.81, which serves as the federal baseline for the true cost of this service. While some payers like Coventry City Of Wichita and Aetna have negotiated rates of $46 and $63 respectively, others such as UnitedHealthcare can reach up to $275. It is important to note that cash-pay options are not listed for this specific code, but patients with high-deductible plans should verify if paying out-of-pocket directly could result in lower costs than their specific insurance plan's negotiated rate, as administrative fees and contract structures often inflate commercial prices above the actual cost of care.

Patients should be aware that while this facility is a voluntary non-profit church-owned acute care hospital in Wichita, KS, the absence of a listed cash median suggests that standard self-pay discounts may not apply or are not publicly disclosed for this specific procedure. To secure the most favorable price, individuals should explicitly request a "self-pay" or "prompt-pay" discount before scheduling, as hospitals often offer 20% to 50% reductions for upfront payments that bypass costly insurance billing cycles. Additionally, since the No Surprises Act prohibits balance billing for out-of-network providers at in-network facilities, patients can rest assured that they will not be billed for the difference between the chargemaster and the allowed amount if the facility is in-network, though they

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14800 West Teresa St, Wichita, KS 67235
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals