CMS Price Transparency Data

X-ray, pelvis

Facility: Ellinwood District Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $116
  • Cash Discount Price: $140
  • vs. Medicare Baseline: 1.09x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Ellinwood District Hospital is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $140. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.09x the Medicare baseline. Located in 605 N Main Street, Ellinwood, KS.
Cash / Self-Pay
$140

Average discount available for prompt cash payment at this facility.

Insurance Median
$116

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: $140 (131%)
Insurance Median: $116 (109%)
Cash: $140 (131% of Medicare)
Ins. Median: $116 (109% 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
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.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 605 N Main Street, Ellinwood, KS 67526
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals