X-ray, pelvis
Facility: Minneola District Hospital
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $135
- Cash Discount Price: $82
- vs. Medicare Baseline: 1.26x 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 |
|---|---|---|
| Humana | $8 - $114 | 7% |
| Va Community Care Program-All Plans | $8 - $114 | 7% |
| UnitedHealthcare | $8 - $170 | 7% |
| Medicaid / KanCare | $22 - $170 | 21% |
| Providrs Care Network-All Plans | $22 - $144 | 21% |
| Aetna | $22 - $170 | 21% |
| Blue Cross Blue Shield | $126 | 118% |
| Corporate Plan Management-All Plans | $144 | 135% |
| Preferred Health Care (Coventry)-All Other Plans | $153 | 143% |
| Triwest-All Plans | $153 | 143% |
| Phc (Coventry) Leased Network | $162 | 152% |
| Health Partners Of Kansas-All Plans | $162 | 152% |
Consumer Guidance & Cost Commentary
For the X-ray, pelvis procedure (CPT 72170) at Minneola District Hospital, the cash median price is $82.00, which is lower than the negotiated rates paid by most insurance plans. While the facility's cash rate is significantly below the gross chargemaster of $118.00, patients with high-deductible plans may find that paying cash upfront is more cost-effective than relying on insurance, as the negotiated rates for major payers like UnitedHealthcare and Aetna range from $22 to $170. It is important to note that commercial negotiated rates often include administrative overhead and do not reflect the true cost of care; for context, the Medicare benchmark for this service is $106.81, suggesting that fair pricing typically falls between 120% and 150% of this amount, whereas many commercial contracts exceed these benchmarks.
Patients should be aware that balance billing is generally prohibited for out-of-network services at in-network facilities under the No Surprises Act, though unexpected charges can still occur from ancillary services like emergency physicians or labs. If you receive a bill that appears to include balance billing, you should request an itemized audit to identify errors such as unbundled codes or services not rendered, as over 80% of hospital bills contain inaccuracies. Additionally, before finalizing payment, you should ask the hospital about prompt-pay discounts, which can reduce the total cost by 20% to 50% if paid in full within 30 days, effectively bypassing the costly claims processing cycle that inflates insurance payments.