X-ray, pelvis
Facility: Hodgeman County Health Center
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $141
- Cash Discount Price: $160
- vs. Medicare Baseline: 1.32x 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 | $120 - $126 | 112% |
| Medicaid / KanCare | $128 - $200 | 120% |
| Triwest - All Plans | $128 | 120% |
| Humana | $128 | 120% |
| UnitedHealthcare | $128 - $190 | 120% |
| Aetna | $160 | 150% |
| First Health - All Plans | $180 | 169% |
| Wppa (Provdrscare) - All Plans | $190 | 178% |
| Health Partners - All Plans | $190 | 178% |
Consumer Guidance & Cost Commentary
For the X-ray of the pelvis at Hodgeman County Health Center in Jetmore, Kansas, the cash median price is $160.00, which is notably higher than the state average of $150.00. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that cash payments can sometimes be more cost-effective than using insurance if the negotiated rate exceeds the cash price. The facility offers a cash median of $160.00, and patients are encouraged to ask directly about self-pay or prompt-pay discounts before scheduling, as these upfront incentives can reduce the final amount owed.
Commercial insurance plans negotiate rates that often differ significantly from cash prices; for instance, Blue Cross Blue Shield plans pay a range between $120 and $126, while Medicaid/KanCare plans range from $128 to $200. These negotiated amounts are generally higher than the cash price due to administrative costs and contract structures, meaning patients with high-deductible plans might save money by paying the cash median directly. To ensure you are receiving the most accurate pricing, always request an itemized bill to verify that no unbundled codes or services not rendered have been charged, and compare all final amounts against the Medicare benchmark of $106.81 to understand the true cost relative to federal standards.