X-ray, pelvis
Facility: Kiowa District Hospital
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $235
- Cash Discount Price: $199
- vs. Medicare Baseline: 2.20x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 220% of the Medicare baseline (a markup of 120%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Tricare | $97 | 91% |
| Blue Cross Blue Shield | $125 | 117% |
| UnitedHealthcare | $199 - $249 | 186% |
| Health Partners Of Ks-All Plans | $219 | 205% |
| Healthchoice-All Plans | $224 | 210% |
| Humana | $225 | 211% |
| Gbs Insurance - All Plans | $234 | 219% |
| Multiplan-All Plans | $234 | 219% |
| Aetna | $237 | 222% |
| Triwest-All Plans | $237 | 222% |
| Medicare (plans) | $237 | 222% |
| Medicaid / KanCare | $249 | 233% |
| Providers Care (Wppa)-All Plans | $374 | 350% |
| Liberty Healthshare-All Plans | $402 | 376% |
Consumer Guidance & Cost Commentary
For the X-ray of the pelvis at Kiowa District Hospital in Kiowa, KS, the cash median price is $199.00, which is lower than the negotiated rates paid by most insurance plans ranging from $219 to $402. While the facility's negotiated rate of $235.00 is higher than the cash price, patients with high-deductible plans might find paying cash directly more cost-effective if their insurance allowed amount exceeds the cash rate. It is important to note that this facility is a Critical Access Hospital owned by a Government Hospital District, and the gross charge listed is $249.00. Consumers should verify their specific plan's allowed amount before scheduling, as some commercial payers may negotiate rates that differ significantly from the facility's standard negotiated rate.
To ensure you are receiving the most accurate pricing, always request an itemized bill before paying, as summary bills can obscure individual charges or unbundled codes. If you receive a large bill, do not accept a verbal dispute; instead, send a formal written audit request to the billing supervisor to identify errors or services not rendered. Additionally, ask the hospital about prompt-pay discounts, which can reduce your bill by 20% to 50% if you pay in full upfront, bypassing the administrative costs associated with insurance claims processing. While Medicare serves as a benchmark for fair pricing, the specific rates for this procedure vary by payer, so comparing your plan's allowed amount against the cash price is the most effective way to minimize out-of-pocket costs.