X-ray, pelvis
Facility: Fredonia Regional Hospital
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $163
- Cash Discount Price: $181
- vs. Medicare Baseline: 1.53x 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 | $90 - $126 | 84% |
| UnitedHealthcare | $92 - $163 | 86% |
| Aetna | $92 - $163 | 86% |
| Veterans Programs - All Plans | $92 | 86% |
| Cigna | $163 | 153% |
| Meritain-All Plans | $163 | 153% |
| Reserve National-All Plans | $163 | 153% |
Consumer Guidance & Cost Commentary
For the X-ray of the pelvis at Fredonia Regional Hospital in Kansas, the cash price is $181.00, which matches the facility's median negotiated rate of $163.00 and the cash median. This service is significantly more expensive than the Medicare benchmark of $106.81, with a markup ratio of 1.5 times the Medicare amount. While commercial payers like Blue Cross Blue Shield and UnitedHealthcare negotiate rates ranging from $90 to $163, these amounts remain higher than the cash price. For patients with high-deductible plans, paying the cash price of $181.00 upfront may be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash rate. Patients should verify if the hospital offers self-pay or prompt-pay discounts to potentially reduce this cost further.
This facility is a Critical Access Hospital in Fredonia, Kansas, with a government-local ownership structure. The pricing data reflects the specific negotiated contracts for this location, where the lowest payer rate is $90 and the highest is $163. Because commercial rates can vary widely by payer, it is essential to confirm your specific plan's allowed amount before scheduling. If you receive a summary bill, request a full itemized statement to ensure no unbundled codes or services not rendered are included. Additionally, if you are out-of-network, be aware that balance billing could occur, though the No Surprises Act protects you from surprise bills for emergency care and non-emergency services at in-network facilities. Always dispute any errors in writing to protect your financial interests.