X-ray, pelvis
Facility: Ellinwood District Hospital
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $116
- Cash Discount Price: $140
- vs. Medicare Baseline: 1.09x 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 |
|---|---|---|
| UnitedHealthcare | $116 | 109% |
| Cigna | $116 | 109% |
| Blue Cross Blue Shield | $116 | 109% |
| Aetna | $116 | 109% |
| Humana | $116 | 109% |
Consumer Guidance & Cost Commentary
For the X-ray of the pelvis at Ellinwood District Hospital, the negotiated rate of $116.00 is identical to the cash price of $140.00, meaning patients with high-deductible plans may find paying out-of-pocket or using a self-pay discount more cost-effective than relying on insurance. While the facility is a Critical Access Hospital in Ellinwood, KS, the data does not provide specific county or state average comparisons for this procedure, so the $116.00 negotiated rate should be viewed as the baseline for in-network coverage. Because this is a CPT code with a gross charge of $165.00, patients should verify if their specific insurance plan has a deductible that would otherwise require them to pay the full $116.00 before services are rendered.
To ensure you receive the lowest possible price, it is important to understand that commercial insurance rates often include administrative overhead that can inflate the cost above the cash price. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, you should still request a prompt-pay discount if you choose to pay cash directly, as hospitals may offer a fee reduction for upfront payment. If you receive a bill, always demand a full itemized statement to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute.