X-ray, pelvis
Facility: Cloud County Health Center
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $559
- Cash Discount Price: $412
- vs. Medicare Baseline: 5.23x 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 523% of the Medicare baseline (a markup of 423%). 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 |
|---|---|---|
| Aetna | $530 - $547 | 496% |
| Health Partners - All Plans | $559 | 523% |
| Mpi-All Plans | $559 | 523% |
| Pponext-All Plans | $559 | 523% |
Consumer Guidance & Cost Commentary
Cloud County Health Center, located at 155 West College Drive in Concordia, KS, offers a CPT code 72170 (X-ray, pelvis) with a cash median price of $412 and a median negotiated rate of $559. While the facility is a voluntary non-profit Critical Access Hospital, the data does not include a specific facility rating, and the state of Kansas is not listed as having a comparative average in this report. For patients, the cash price of $412 represents a potential savings point compared to the standard commercial negotiated rate of $559, which reflects the administrative overhead and contract dynamics typical of in-network insurance arrangements.
The Medicare benchmark for this service is $106.81, indicating that the actual cost to the provider is significantly lower than the commercial rates charged. Commercial payers such as Aetna, Health Partners, Mpi-All Plans, and Pponext-All Plans have negotiated rates ranging from $530 to $559, with Aetna plans showing a range between $530 and $547. Patients with high-deductible plans may find it financially advantageous to pay the cash price of $412 directly, as this amount is lower than the typical commercial negotiated rate of $559. To secure this lower price, patients should explicitly request self-pay or prompt-pay discounts before scheduling and consider signing a waiver to prevent automatic claims submission to insurance carriers.