X-ray, pelvis
Facility: Lincoln County Hospital
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $126
- Cash Discount Price: $170
- vs. Medicare Baseline: 1.18x 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 | 118% |
Consumer Guidance & Cost Commentary
For this X-ray of the pelvis at Lincoln County Hospital in Lincoln, KS, the cash price is $170.00, which is lower than the facility's gross charge of $189.00. While the negotiated rate for Blue Cross Blue Shield is $126.00, patients with high-deductible plans might find paying cash directly more cost-effective if their insurance allowed amount exceeds the cash price. It is important to note that this facility is a Critical Access Hospital owned by the local government, and patients should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling to ensure they are not charged the full negotiated rate.
This service is priced at $126.00 when negotiated with Blue Cross Blue Shield, which is the only payer listed for this procedure. The data indicates a single payer plan with a consistent rate of $126.00, and while the median negotiated amount matches the low and high values provided, there is no median paid data available for comparison. When reviewing your bill, remember that hospitals often issue summary bills that obscure individual costs; always request a full itemized statement to verify that no unbundled codes or services not rendered have been charged. If you receive a balance bill from an out-of-network provider, you may be entitled to protections under the No Surprises Act, and you should dispute any unexpected charges in writing rather than accepting the first offer.