CMS Price Transparency Data

X-ray, pelvis

Facility: Republic County Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $260
  • Cash Discount Price: $212
  • vs. Medicare Baseline: 2.43x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Republic County Hospital is $260. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $212. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.43x the Medicare baseline. Located in 2420 G Street, Belleville, KS.
Cash / Self-Pay
$212

Average discount available for prompt cash payment at this facility.

Insurance Median
$260

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $212 (198%)
Insurance Median: $260 (243%)
Cash: $212 (198% of Medicare)
Ins. Median: $260 (243% of 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 243% of the Medicare baseline (a markup of 143%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Rural Carriers-All Plans $241 226%
Aetna $255 239%
Meritain-All Plans $255 239%
UnitedHealthcare $260 243%
First Health-All Plans $269 252%
Cigna $269 252%
Midlands Choice-All Plans $269 252%

Consumer Guidance & Cost Commentary

For this X-ray of the pelvis at Republic County Hospital in Belleville, KS, the negotiated rates for major payers like UnitedHealthcare and First Health are $260, which matches the median negotiated amount. While the facility's cash price is lower at $212, patients with high-deductible plans may find that paying cash upfront is more cost-effective than relying on insurance, as the insurer's negotiated rate of $260 exceeds the cash price. It is important to note that while the facility is a Critical Access Hospital with a voluntary non-profit ownership, the specific negotiated rates for this service remain fixed at $260 across all listed plans, including Rural Carriers and Aetna.

To ensure you are not overcharged, we recommend requesting an itemized billing audit to verify that all charges align with the CPT code 72170 and that no unbundled services or cancelled tests have been billed. Additionally, since the facility offers prompt-pay discounts for upfront cash payments, you should contact the billing department before scheduling to confirm the self-pay rate and request a waiver of insurance submission to avoid automatic claims processing. While the data does not provide specific county or state average comparisons for this procedure, understanding that commercial negotiated rates often include administrative overhead can help you evaluate whether the $260 rate is reasonable compared to the Medicare benchmark of $106.81.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2420 G Street, Belleville, KS 66935
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals