CMS Price Transparency Data

X-ray, pelvis

Facility: Smith County Memorial Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $182
  • Cash Discount Price: $194
  • vs. Medicare Baseline: 1.70x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Smith County Memorial Hospital is $182. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $194. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.70x the Medicare baseline. Located in 921 E. Highway 36, Smith Center, KS.
Cash / Self-Pay
$194

Average discount available for prompt cash payment at this facility.

Insurance Median
$182

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $194 (182%)
Insurance Median: $182 (170%)
Cash: $194 (182% of Medicare)
Ins. Median: $182 (170% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $125 117%
Medicaid / KanCare $136 - $194 127%
Multiplan-All Plans $175 164%
Wppa-All Plans $182 170%
Health Partners Of Ks Ppo-All Plans $184 172%
Midlands Choice-All Plans $184 172%
UnitedHealthcare $184 172%

Consumer Guidance & Cost Commentary

For the X-ray of the pelvis at Smith County Memorial Hospital in Smith Center, Kansas, the cash price is $194.00, which matches the facility's negotiated rate for Medicaid and the median amount paid by other payers. While the Medicare benchmark for this service is $106.81, indicating a standard commercial markup, patients with high-deductible plans may find paying the full cash price of $194.00 more cost-effective than relying on insurance, as the negotiated rates for in-network plans range from $125 to $194.00. It is important to note that while the facility is a Critical Access Hospital owned by the local government, patients should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can reduce the final bill by 20% to 50% by bypassing costly insurance claims processing.

If you choose to use insurance, be aware that the allowed amounts vary significantly by payer, with Blue Cross Blue Shield covering $125.00 and Medicaid plans ranging up to $194.00. Should you receive a bill that exceeds these negotiated amounts, it could be due to balance billing from out-of-network ancillary services, though the No Surprises Act protects you from such charges for emergency care and non-emergency services at in-network facilities. To ensure you are not overcharged, always request a full itemized bill that lists every specific CPT code and unit cost, rather than accepting a summary invoice that obscures individual charges. If discrepancies are found, such as unbundled codes or services not rendered, you should dispute the error in writing to the billing

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 921 E. Highway 36, Smith Center, KS 66967
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals