X-ray, pelvis
Facility: Goodland Regional Medical Center
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $192
- Cash Discount Price: $192
- vs. Medicare Baseline: 1.80x 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 | $126 | 118% |
| Wppa | $181 - $192 | 169% |
| UnitedHealthcare | $192 | 180% |
Consumer Guidance & Cost Commentary
For the X-ray, pelvis procedure at Goodland Regional Medical Center in Goodland, KS, the cash median price is $192.00, which aligns with the median negotiated rate of $192.00. This facility is a Critical Access Hospital with government-local ownership. While the data does not provide specific county or state average comparisons for this specific CPT code, it is important to note that cash-pay options can sometimes be more cost-effective for patients with high-deductible plans if their insurance negotiated rate exceeds the cash price. Since the cash and negotiated rates are identical here, there is no immediate financial advantage to using insurance for this specific service unless your deductible has already been met.
Patients should be aware that commercial insurance rates often include administrative overhead and contract markups that can inflate the final cost compared to direct payment. Although the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, it is still advisable to verify your specific plan's allowed amount before scheduling. If you choose to pay out-of-pocket, ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. Always request a detailed, itemized bill before paying to ensure no errors or unbundled charges are included, as over 80% of hospital bills contain discrepancies that can be corrected through a formal audit.