X-ray, pelvis
Facility: Osborne County Memorial Hospital
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $168
- Cash Discount Price: $157
- vs. Medicare Baseline: 1.57x 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 |
|---|---|---|
| UnitedHealthcare | $141 | 132% |
| Health Partners Of Kansas | $159 | 149% |
| Wppa | $176 | 165% |
| Blue Cross Blue Shield | $181 | 169% |
Consumer Guidance & Cost Commentary
For the X-ray, pelvis procedure (CPT 72170) at Osborne County Memorial Hospital in Osborne, KS, the facility's cash median price of $157.00 is notably lower than the negotiated rates paid by major payers, which range from $141 to $181 depending on the specific insurance plan. While the facility is a Critical Access Hospital with government-local ownership, patients should be aware that their insurance negotiated rates often exceed the cash price; for instance, the cash rate of $157.00 is lower than the median negotiated rate of $168.00. If you have a high-deductible plan, paying the cash price upfront may result in immediate savings compared to your insurance's allowed amount, provided you secure a prompt-pay discount before check-in.
To maximize potential savings, it is crucial to request a self-pay classification and prompt-pay discount prior to scheduling, as billing systems may automatically submit claims to insurance once a card is on file, voiding any cash agreement. Although the facility's gross charge is $185.00, the Medicare benchmark of $106.81 serves as the most reliable baseline for evaluating pricing fairness, as commercial rates often include significant administrative markups. If you receive a bill after using insurance, ensure you have an itemized statement to verify that no balance billing or unbundled charges occurred, and remember that federal protections under the No Surprises Act may prevent unexpected out-of-network costs for emergency or non-emergency services at in-network facilities.