X-ray, pelvis
Facility: Community Memorial Healthcare, Inc.
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $153
- Cash Discount Price: $293
- vs. Medicare Baseline: 1.43x 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 |
|---|---|---|
| Aetna | $116 - $250 | 109% |
| Blue Cross Blue Shield | $126 | 118% |
| UnitedHealthcare | $144 - $191 | 135% |
Consumer Guidance & Cost Commentary
For the X-ray of the pelvis at Community Memorial Healthcare, Inc. in Marysville, Kansas, the cash price is $293.00, which matches the facility's cash median. This cash rate is significantly higher than the state average for this service, as indicated by a ratio of 1.4 times the Medicare benchmark of $106.81. While commercial insurance plans like Aetna, Blue Cross Blue Shield, and UnitedHealthcare negotiate lower rates ranging from $116 to $191, these negotiated amounts often exceed the cash price for patients with high-deductible plans. In such cases, paying the full cash price of $293.00 upfront can sometimes result in lower out-of-pocket costs compared to the insurance negotiated rate, particularly if the patient has not yet met their deductible or if the insurance allowed amount is lower than the cash price.
Patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these incentives can reduce the final bill by 20% to 50% by bypassing administrative claim processing fees. It is important to verify that the facility is in-network to avoid balance billing, though the No Surprises Act protects patients from surprise bills for out-of-network services at in-network facilities. If you receive a bill, request a detailed itemized statement to review specific CPT codes and ensure no charges are unbundled or for services not rendered, as over 80% of hospital bills contain errors. Comparing this facility's pricing to the broader Kansas market helps clarify that while the cash rate is elevated relative to the state average, the negotiated rates for major payers provide a more