X-ray, pelvis
Facility: Great Plains Of Sabetha
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $180
- Cash Discount Price: $189
- vs. Medicare Baseline: 1.69x 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 |
|---|---|---|
| Celtic Mcr Adv | $98 | 92% |
| Aetna | $99 - $191 | 93% |
| Celtic Comm Exchange-All Other Plans | $123 | 115% |
| Great West Healthcare-All Plans | $161 | 151% |
| UnitedHealthcare | $176 - $189 | 165% |
| Multiplan-Phcs-All Plans | $180 | 169% |
| Humana | $180 | 169% |
| Cigna | $180 | 169% |
| Century/Wppa/Providers-All Plans | $180 | 169% |
| Federated Mutual Ins-All Plans | $181 | 169% |
| Blue Cross Blue Shield | $189 | 177% |
| Medicaid / KanCare | $189 | 177% |
Consumer Guidance & Cost Commentary
For the X-ray of the pelvis at Great Plains Of Sabetha, the cash price is $189.00, which matches the facility's negotiated rate and the highest amount paid by any insurer in this dataset. While commercial payers like Aetna and UnitedHealthcare negotiated rates ranging from $98 to $191, the cash price remains the most affordable option for patients without insurance. It is important to note that for individuals with high-deductible plans, paying the cash price of $189.00 upfront may be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount. Patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can further reduce the final cost.
The facility's pricing is significantly higher than the Medicare benchmark of $106.81, with a ratio of 1.7 times the Medicare rate, indicating a markup typical of commercial pricing structures. Although the median amount paid by insurers was $170.00, this figure is still above the cash price, reinforcing that paying out-of-pocket is the most economical choice for this service. To avoid unexpected costs, patients should request a detailed, itemized bill rather than accepting a summary invoice, as errors or unbundled charges are common. If a balance bill arises from an out-of-network ancillary service, patients should not pay immediately but instead dispute the charge with their insurer under the No Surprises Act to prevent surprise expenses.