X-ray, pelvis
Facility: Logan County Hospital
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $206
- Cash Discount Price: $60
- vs. Medicare Baseline: 1.93x 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 | $126 | 118% |
| Humana | $127 | 119% |
| Health Partners - All Plans | $285 | 267% |
| Medicaid / KanCare | $300 | 281% |
Consumer Guidance & Cost Commentary
For the X-ray, pelvis procedure (CPT 72170) at Logan County Hospital in Oakley, KS, the cash price is $60.00, which is significantly lower than the facility's negotiated rates of $206.00 and the gross charge of $300.00. While the facility is a Critical Access Hospital with government ownership, patients should be aware that paying cash upfront can often result in substantial savings compared to using insurance, especially if their plan has a high deductible. The negotiated rate of $206.00 is notably higher than the cash price, illustrating how administrative costs and insurance billing structures can inflate the final bill. To minimize costs, patients are encouraged to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available before scheduling, as these programs can reduce the balance further.
When evaluating the cost against federal benchmarks, the Medicare amount for this service is $106.81, which serves as a baseline for fair pricing. The facility's cash rate of $60.00 is lower than the Medicare benchmark, whereas the negotiated rate of $206.00 exceeds the Medicare amount by a factor of 1.9. This highlights the importance of comparing rates to the Medicare standard rather than the hospital's inflated chargemaster list, as commercial rates often include significant markups. Given that the facility is located in a specific geographic area, patients should verify their specific plan's allowed amount, as in-network rates can vary widely between payers, and ensure they understand their deductible status before relying on insurance to cover the full negotiated cost.