X-ray, pelvis
Facility: Scott County Hospital
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $252
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.36x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 236% of the Medicare baseline (a markup of 136%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 | $60 - $266 | 56% |
| Humana | $118 | 110% |
| Blue Cross Blue Shield | $126 | 118% |
| Wppa | $168 - $1,200 | 157% |
| Aetna | $252 | 236% |
Consumer Guidance & Cost Commentary
For this X-ray of the pelvis at Scott County Hospital in Scott City, KS, the facility's negotiated rates range from $60 to $1,200 across five insurance plans, with a median negotiated amount of $252.00. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, the data does not provide a specific cash or self-pay price for this service, so patients cannot yet determine if paying out-of-pocket would be cheaper than using insurance. It is important to note that commercial negotiated rates often include administrative overhead and can exceed the true cost of care; in many cases, patients with high-deductible plans may save money by paying the cash price directly, provided a specific self-pay rate is available. Since the cash median is not listed, you should contact the hospital directly to ask for their self-pay or prompt-pay discount before scheduling, as these upfront discounts can significantly reduce the final bill.
The pricing for this procedure is also contextualized by federal benchmarks and regional data. The Medicare amount for this code is $106.81, which serves as a baseline for evaluating the facility's markup. Additionally, the data indicates a comparison metric of 2.4 against the Medicare rate, suggesting the facility's pricing structure is significantly higher than the federal standard. While the report does not include explicit comparisons to Kansas or Scott County average rates, the wide variance in negotiated payments—ranging from $60 to $1,200—highlights the importance of verifying your specific plan's allowed amount. To avoid unexpected costs, always request an itemized bill before paying, as over 80% of hospital bills contain errors such as unbundled codes