X-ray, pelvis
Facility: Hamilton County Hospital
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $136
- Cash Discount Price: $152
- vs. Medicare Baseline: 1.27x 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 | $59 - $126 | 55% |
| First Health Coventry - All Plans | $129 | 121% |
| UnitedHealthcare | $144 | 135% |
| Cigna | $144 | 135% |
| Va Ccn - All Plans | $152 | 142% |
| Aetna | $258 | 242% |
Consumer Guidance & Cost Commentary
For the CPT code 72170 (X-ray, pelvis) at Hamilton County Hospital in Syracuse, KS, the cash price is $152.00, which matches the facility's negotiated rate and the median paid amount. This cash price is significantly lower than the Medicare benchmark of $106.81, with the facility charging 1.3 times the Medicare rate. While commercial payers like Blue Cross Blue Shield and First Health Coventry have negotiated rates ranging from $59 to $144, these amounts often exceed the cash price. Patients with high-deductible plans may find it financially advantageous to pay the $152.00 cash price directly, as this avoids the administrative markup and potential higher negotiated rates charged by insurance carriers.
To ensure you are receiving the best possible rate, it is important to verify your specific plan's negotiated amount before scheduling, as rates vary by payer and can sometimes be higher than the cash option. If you choose to use insurance, be aware that balance billing could occur if you are out-of-network, though the No Surprises Act protects you from such unexpected bills for emergency care and non-emergency services at in-network facilities. Additionally, you should request a prompt-pay discount from the hospital if you decide to pay self-pay, as facilities often offer reductions for upfront payments to bypass costly claims processing. Always ask the billing department specifically about self-pay or prompt-pay discounts prior to your visit to avoid paying the full chargemaster or negotiated amount.