X-ray, pelvis
Facility: Kiowa County Memorial Hospital
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $191
- Cash Discount Price: $183
- vs. Medicare Baseline: 1.79x 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 - $191 | 118% |
| UnitedHealthcare | $172 - $215 | 161% |
| Health Partners Of Ks-All Plans | $189 | 177% |
| Celtic Comml Exchange-All Other Plans | $191 | 179% |
| Humana | $191 | 179% |
| Aetna | $191 | 179% |
| Medica Prime Mcare Cost-All Plans | $191 | 179% |
| Medicaid / KanCare | $215 | 201% |
| Providrs Care/Wppa-All Plans | $322 | 301% |
Consumer Guidance & Cost Commentary
For the X-ray, pelvis procedure at Kiowa County Memorial Hospital in Greensburg, KS, the facility's cash price of $183 is lower than the gross charge of $215 but slightly below the median negotiated rate of $191 paid by insurers like UnitedHealthcare and Health Partners Of Ks. While Medicaid/KanCare and several other payers also settle at $191, patients with high-deductible plans might find the cash price more advantageous if their insurance negotiated rate exceeds this amount. Because commercial rates often include administrative overhead and contract markups, paying cash upfront can sometimes result in immediate savings compared to the standard insurance allowed amount, provided the patient qualifies for a self-pay or prompt-pay discount.
It is important to note that the facility's cash rate of $183 is significantly lower than the Medicare benchmark of $106.81, indicating that the commercial negotiated rates of $191 represent a markup relative to the federal baseline. This pricing structure is typical for Critical Access Hospitals, where commercial contracts often exceed Medicare rates due to multi-layered administrative costs and network tiering. Consumers should avoid accepting summary bills and instead request a full itemized audit to ensure no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors. Furthermore, if a patient receives care from an out-of-network provider at this in-network facility, the No Surprises Act protects them from balance billing for emergency and non-emergency services, so they should never sign away these rights without fully understanding the terms.