X-ray, pelvis
Facility: Kingman Healthcare Center
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $22
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.21x 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 |
|---|---|---|
| Medicaid / KanCare | $22 | 21% |
| Healthy Blue | $22 | 21% |
| Aetna | $35 | 33% |
Consumer Guidance & Cost Commentary
For the X-ray, pelvis procedure (CPT 72170) at Kingman Healthcare Center in Kingman, Kansas, the facility's median negotiated rate is $282.00, which is 20% higher than the Medicare benchmark of $106.81. This facility is a Critical Access Hospital with a voluntary non-profit ownership structure, and while the data does not provide a specific cash price, patients should be aware that cash-pay options can sometimes result in lower out-of-pocket costs if the insurance negotiated rate exceeds the cash price. Since the facility is located in a Critical Access Hospital setting, it is important to verify if "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront payment incentives can significantly reduce the final bill by bypassing administrative processing fees.
The pricing data reflects three payers, including Medicaid/KanCare, Healthy Blue, and Aetna, with negotiated rates ranging from $22.00 to $35.00 depending on the specific plan. While the provided data does not include explicit county or state average comparisons for this specific code, the significant markup over the Medicare rate highlights the importance of understanding the difference between the insurer's allowed amount and the facility's actual charge. To avoid unexpected costs, patients should request an itemized billing audit to ensure no unbundled codes or services not rendered are included in the final invoice, and they should confirm their deductible status before proceeding, as high negotiated rates may not apply until the plan's deductible is met.