X-ray, pelvis
Facility: Hospital District #6 Patterson Health Center
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $158
- Cash Discount Price: $140
- vs. Medicare Baseline: 1.48x 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 | $119 - $125 | 111% |
| UnitedHealthcare | $158 - $175 | 148% |
| Providers Care (Wppa)-All Plans | $306 | 286% |
Consumer Guidance & Cost Commentary
For the X-ray of the pelvis at Hospital District #6 Patterson Health Center in Anthony, KS, the facility's cash median rate is $140.00, while the negotiated rate for in-network insurance is $158.00. This specific service is billed under CPT code 72170, and the facility, a Critical Access Hospital owned by a government hospital district, has a gross charge of $175.00. Patients with high-deductible plans may find that paying the cash price of $140.00 upfront is more cost-effective than relying on insurance, which applies a negotiated rate of $158.00 that includes administrative overhead. It is important to verify your specific plan's allowed amount before scheduling, as some in-network contracts may result in higher out-of-pocket costs than self-pay options.
The data indicates that the negotiated rate of $158.00 aligns with the median paid amount for this service, though the exact comparison to state or county averages is not provided in the available records. The Medicare benchmark for this procedure is $106.81, which serves as a baseline for evaluating the facility's pricing markup. Commercial rates often exceed Medicare benchmarks due to the inclusion of network fees and administrative processing costs. To ensure you are receiving the best possible price, we recommend asking the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the total cost by offering immediate liquidity incentives. Additionally, if you have any questions about your specific plan's coverage or deductible status, please contact the hospital directly prior to your visit.