X-ray, pelvis
Facility: Greenwood County Hospital
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $124
- Cash Discount Price: $117
- vs. Medicare Baseline: 1.16x 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 | $52 | 49% |
| Tricare | $61 | 57% |
| Choicecare Mcr Adv - All Plans | $61 | 57% |
| UnitedHealthcare | $61 - $123 | 57% |
| Integrated Health Plan - All Plans | $110 | 103% |
| Blue Cross Blue Shield | $119 - $125 | 111% |
| First Health - All Other Plans | $124 | 116% |
| Beech Street - All Plans | $124 | 116% |
| First Health Ccn Network | $124 | 116% |
| Preferred Hs (Coventry) - All Plans | $131 | 123% |
| Principal Health Care Inc - All Plans | $139 | 130% |
| Medicaid / KanCare | $146 | 137% |
| Amerigroup Mcaid-All Plans | $146 | 137% |
| Providrs Care/Wppa - All Plans | $219 | 205% |
Consumer Guidance & Cost Commentary
For the X-ray of the pelvis at Greenwood County Hospital in Eureka, Kansas, the negotiated rates range from $52 to $219 depending on your specific insurance plan, with a median negotiated amount of $124. This facility is a Critical Access Hospital owned by the local government, and its pricing structure reflects standard commercial contracts where in-network rates often exceed cash prices due to administrative overhead and claim processing costs. While the cash median price is $117, patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, as the insurance negotiated rate of $124 is higher. To maximize savings, it is recommended to contact the hospital directly to inquire about self-pay discounts or prompt-pay incentives, which can further reduce the final amount owed.
When reviewing your bill, be aware that summary invoices may obscure individual charges, so requesting a detailed itemized statement is essential to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain inaccuracies. Additionally, if you receive care from an out-of-network provider at this in-network facility, the No Surprises Act protects you from balance billing for emergency and non-emergency services, meaning you should not feel pressured to pay unexpected differences immediately. For pricing context, the Medicare benchmark for this service is $106.81, which serves as a reliable baseline to evaluate the facility's rates, noting that fair pricing typically falls between 120% and 150% of this amount, whereas commercial negotiated rates can average up to 300% of the Medicare rate.