X-ray, pelvis
Facility: Cheyenne County Hospital
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $212
- Cash Discount Price: $190
- vs. Medicare Baseline: 1.98x 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 |
|---|---|---|
| Blue Cross Blue Shield | $125 | 117% |
| First Health - All Plans | $156 | 146% |
| Tricare | $161 | 151% |
| UnitedHealthcare | $161 - $223 | 151% |
| Aetna | $161 - $212 | 151% |
| Healthy Blue Mcr Adv | $161 | 151% |
| Choice Care - All Plans | $162 | 152% |
| Firstguard - All Plans | $178 | 167% |
| Wppa - All Plans | $201 | 188% |
| Preferred Hc - All Plans | $212 | 198% |
| Cpm - All Plans | $212 | 198% |
| Midlands Choice - All Plans | $216 | 202% |
| Unicare - All Plans | $219 | 205% |
| Health Partners - All Plans | $219 | 205% |
| Integrated Hp - All Plans | $219 | 205% |
| Ppo Next - All Plans | $219 | 205% |
| Healthy Blue Mcaid - All Other Plans | $223 | 209% |
| Childrens Mercy - All Plans | $223 | 209% |
| Healthwave Mcaid - All Plans | $223 | 209% |
| Providers Care-All Plans | $334 | 313% |
Consumer Guidance & Cost Commentary
For the CPT code 72170 (X-ray, pelvis) at Cheyenne County Hospital, the facility's cash price of $190.00 is lower than the average negotiated rate of $212.00 paid by most insurers. While the gross charge listed is $223.00, patients with high-deductible plans may find that paying the cash price directly is more cost-effective than relying on insurance, as many commercial payers negotiate rates that exceed the cash amount. It is important to note that while the facility is a Critical Access Hospital in Kansas, the specific negotiated rates vary significantly by payer, ranging from $125 for Blue Cross Blue Shield up to $334 for Providers Care-All Plans, meaning the actual out-of-pocket cost depends entirely on your specific insurance plan and deductible status.
To minimize costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront before or shortly after the service. Since the facility is a voluntary non-profit, these discounts are often available to bypass the administrative overhead associated with insurance billing cycles. Additionally, if you have insurance, verify your deductible balance before scheduling, as paying the negotiated rate without meeting your deductible could result in higher out-of-pocket expenses than simply paying cash. Always request a full, itemized bill before paying to ensure no errors or unbundled charges are included, as over 80% of hospital bills contain mistakes that can be corrected through a formal written dispute.