X-ray, pelvis
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $156
- Cash Discount Price: $195
- vs. Medicare Baseline: 1.46x 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 |
|---|---|---|
| Direct Benefit-All Plans | $52 | 49% |
| UnitedHealthcare | $63 - $217 | 59% |
| Berkley Net-All Plans | $87 | 81% |
| Aetna | $95 - $148 | 89% |
| Trustmark Health Benefits-All Plans | $95 | 89% |
| Meritain Health-All Plans | $98 | 92% |
| Ambetter / Centene | $104 | 97% |
| Axa Equitable - All Plans | $119 | 111% |
| Pinnacol-All Plans | $122 | 114% |
| Medi-Share-All Plans | $124 | 116% |
| Presbyterian-All Plans | $132 | 124% |
| Kasb Work Comp - All Plans | $139 | 130% |
| The Kempton Group Admin-All Plans | $150 | 140% |
| Gpha(Wppa)-All Other Plans | $152 | 142% |
| Auxiant - All Plans | $152 | 142% |
| Wppa- All Plans | $154 | 144% |
| Providers Care Network- All Plans | $156 | 146% |
| Sisco-All Plans | $156 | 146% |
| Emc-All Plans | $156 | 146% |
| Gpha Employee Benefit Plan | $158 | 148% |
| Regional Care(Wppa)-All Plans | $163 | 153% |
| Employee Benefit-All Plans | $163 | 153% |
| First Health -All Plans | $165 | 154% |
| Triangle-All Plans | $165 | 154% |
| One Call Physician-All Plans | $167 | 156% |
| Blue Cross Blue Shield | $171 | 160% |
| Christian Hospital Aid - All Plans | $174 | 163% |
| Tricare | $174 | 163% |
| Humana | $187 | 175% |
| Luminare Health- All Plans | $191 | 179% |
| Cigna | $191 | 179% |
| Coresource-All Plans | $195 | 183% |
| Deseret Mutual(Uhis)-All Plans | $195 | 183% |
| Vaccn-All Plans | $200 | 187% |
| Hma Llc-All Plans | $206 | 193% |
| Reserve National-All Plans | $206 | 193% |
| Wps Vapc-All Plans | $206 | 193% |
| Medicaid / KanCare | $217 | 203% |
Consumer Guidance & Cost Commentary
For this X-ray of the pelvis at Satanta District Hospital, the cash price is $195, which is lower than the average negotiated rates paid by insurance companies ranging from $52 to $217. While the facility's cash rate is below the gross charge of $217, patients with high-deductible plans might find paying out-of-pocket cheaper if their insurance negotiated rate exceeds this amount. Because commercial rates often include administrative overhead and contract markups, the cash price can serve as a more transparent baseline for comparison. To secure the lowest possible cost, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill.
The facility's cash rate of $195 is also lower than the Medicare benchmark of $106.81 when adjusted for the 1.5x multiplier, indicating that the commercial cash price is higher than the federal cost baseline. This highlights the importance of using Medicare rates rather than the hospital's gross list price to evaluate true value, as chargemasters are often inflated to make discounts appear larger. If you receive a bill from an out-of-network provider at this in-network facility, you may be protected by the No Surprises Act, which bans balance billing for emergency and non-emergency services. Always request a detailed, itemized bill to verify that no unbundled codes or services not rendered have been charged, as over 80% of hospital bills contain errors that can be corrected through a formal written audit.