CMS Price Transparency Data

X-ray, pelvis

Facility: Cheyenne County Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $212
  • Cash Discount Price: $190
  • vs. Medicare Baseline: 1.98x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Cheyenne County Hospital is $212. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $190. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.98x the Medicare baseline. Located in 210 West 1St Street, St Francis, KS.
Cash / Self-Pay
$190

Average discount available for prompt cash payment at this facility.

Insurance Median
$212

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: $190 (178%)
Insurance Median: $212 (198%)
Cash: $190 (178% of Medicare)
Ins. Median: $212 (198% 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 $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.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 210 West 1St Street, St Francis, KS 67756
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals