CMS Price Transparency Data

X-ray, pelvis

Facility: Grisell Memorial Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $194
  • Cash Discount Price: $211
  • vs. Medicare Baseline: 1.82x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Grisell Memorial Hospital is $194. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $211. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.82x the Medicare baseline. Located in 210 South Vermont Avenue, Ransom, KS.
Cash / Self-Pay
$211

Average discount available for prompt cash payment at this facility.

Insurance Median
$194

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%)
Cash / Self-Pay: $211 (198%)
Insurance Median: $194 (182%)
Cash: $211 (198% of Medicare)
Ins. Median: $194 (182% 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
Blue Cross Blue Shield $119 111%
UnitedHealthcare $165 - $222 154%
Humana $222 208%
Medicaid / KanCare $222 208%

Consumer Guidance & Cost Commentary

For the X-ray of the pelvis at Grisell Memorial Hospital in Ransom, Kansas, the facility's cash median price is $211.00, which is lower than the negotiated rates paid by major insurers like UnitedHealthcare ($165–$222) and Humana ($222). While the facility is a Critical Access Hospital owned by a government hospital district, patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount. To secure the lowest possible cost, we recommend asking the billing department specifically about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront.

It is important to understand that the facility's gross charge of $222.00 represents the maximum list price, but commercial insurers typically pay a negotiated rate that caps the amount billed to members. In this case, the median negotiated rate is $194.00, which is still higher than the cash price, illustrating that being in-network does not always guarantee the lowest price. Additionally, the Medicare amount of $106.81 serves as a benchmark for the true cost of care; commercial rates are often significantly higher than this federal baseline due to administrative overhead and contract structures. If you receive a bill that exceeds these negotiated or cash rates, you should request a detailed, itemized statement to verify that no errors, such as unbundled codes or services not rendered, have inflated the total.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 210 South Vermont Avenue, Ransom, KS 67572
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals