X-ray, pelvis
Facility: Kearny County Hospital
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $202
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.89x 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 |
|---|---|---|
| Wps Gha - Mac J5 Part A | $202 | 189% |
| Community Care Health Plan Of | $202 | 189% |
| Blue Cross Blue Shield | $202 | 189% |
Consumer Guidance & Cost Commentary
For this X-ray of the pelvis at Kearny County Hospital in Lakin, KS, the facility's negotiated rate is $202.00, which matches the highest and lowest amounts paid by the three participating payers. While the median negotiated rate is $202.00, the median amount actually paid by patients is $92.00, indicating significant variability in final costs. It is important to note that cash-pay rates are not available for this service, so patients relying on self-pay or prompt-pay discounts should contact the hospital directly to inquire about potential fee reductions before scheduling.
The Medicare benchmark for this procedure is $106.81, which serves as a baseline for evaluating the facility's pricing. Although the data does not provide specific state or county average comparisons for this exact code, the facility operates as a Critical Access Hospital with government-local ownership. Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, it is still advisable to request an itemized bill to verify that all charges are accurate and that no unbundled codes or services not rendered have been included.