X-ray, pelvis
Facility: Ellsworth County Medical Center
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $143
- Cash Discount Price: $159
- vs. Medicare Baseline: 1.34x 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 |
|---|---|---|
| Triwest -All Plans | $75 | 70% |
| Healthy Blue Mcr Adv | $75 | 70% |
| Humana | $75 - $151 | 70% |
| Va Ccn-All Plans | $75 | 70% |
| UnitedHealthcare | $103 - $159 | 96% |
| Blue Cross Blue Shield | $119 - $125 | 111% |
| First Health - All Plans | $143 | 134% |
| Aetna | $143 | 134% |
| Cigna | $151 | 141% |
| Healthy Blue Mcaid- All Other Plans | $159 | 149% |
| Coventry Mcaid-All Plans | $159 | 149% |
| Medicaid / KanCare | $159 | 149% |
| Providers Care-Wppa-All Plans | $238 | 223% |
Consumer Guidance & Cost Commentary
For the X-ray of the pelvis at Ellsworth County Medical Center, the cash price is $159.00, which matches the facility's negotiated rate with several payers and the cash median. This specific service is priced at 130% of the Medicare benchmark of $106.81, indicating a markup consistent with commercial pricing structures where negotiated rates often exceed the federal baseline. While the facility is located in Ellsworth, Kansas, the provided data does not include specific county or state average comparisons for this procedure, so the $159.00 cash price serves as the primary reference point for self-pay patients.
Patients with high-deductible plans may find that paying the full cash price of $159.00 upfront is more cost-effective than relying on insurance, as the negotiated rates for some payers, such as UnitedHealthcare and Blue Cross Blue Shield, range from $103.00 to $159.00 depending on the plan. To minimize costs, individuals should explicitly request a "self-pay" or "prompt-pay" discount before scheduling, as these programs can offer significant reductions for upfront payment. Additionally, if a patient receives an itemized bill, they should verify that no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute.