X-ray, pelvis
Facility: Morris County Hospital
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $178
- Cash Discount Price: $274
- vs. Medicare Baseline: 1.67x 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 |
|---|---|---|
| Providrs Care (Wppa)(Nexus)-All Plans | $21 | 20% |
| Blue Cross Blue Shield | $126 - $178 | 118% |
| Va Ccn-All Plans | $178 | 167% |
| UnitedHealthcare | $178 - $457 | 167% |
| Choice Care Mcr Adv-All Plans | $178 | 167% |
| Coventry Mcr | $178 | 167% |
| Cigna | $331 | 310% |
| Aetna | $409 | 383% |
| Coventry Comm-All Other Plans | $411 | 385% |
| Multiplan-All Plans | $411 | 385% |
Consumer Guidance & Cost Commentary
For this X-ray of the pelvis at Morris County Hospital in Council Grove, Kansas, the cash price is $274, which is lower than the facility's gross charge of $457. While the hospital is a Critical Access Hospital with government ownership, the negotiated rates vary significantly by insurer, ranging from $126 to $457 depending on the plan. For patients with high-deductible plans, paying the cash price of $274 upfront may be more cost-effective than relying on insurance, as some commercial payers negotiate rates that exceed the cash amount. Additionally, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can further lower the total cost.
It is important to note that commercial insurance rates are often higher than the Medicare benchmark of $106.81 for this procedure, reflecting the administrative costs and contract structures of private insurers. Although the data provided does not include specific state or county average figures for comparison, the facility's cash rate remains a key reference point for consumers. If you receive a bill from an out-of-network provider or encounter unexpected charges, you may be subject to balance billing, which is restricted for emergency care under the No Surprises Act. To ensure accuracy, always request a full itemized bill before paying, as summary invoices can hide unbundled codes or services not rendered, and dispute any errors in writing to protect your financial interests.