X-ray, pelvis
Facility: Neosho Memorial Regional Medical Center
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $135
- Cash Discount Price: $317
- vs. Medicare Baseline: 1.26x 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 | $60 | 56% |
| Tricare | $130 | 122% |
| Blue Cross Blue Shield | $135 - $147 | 126% |
| Aetna | $135 | 126% |
| Va_Ccn | $135 | 126% |
| Medicare (plans) | $135 | 126% |
| Medadv_Uhc | $135 | 126% |
| Humana | $135 | 126% |
| Medadv_Allwell | $135 | 126% |
| Ambetter / Centene | $213 | 199% |
| Wppa_Providrscare | $351 | 329% |
| United | $352 | 330% |
| Hpk | $402 | 376% |
| Cigna | $402 | 376% |
| Coventry | $402 | 376% |
Consumer Guidance & Cost Commentary
For the X-ray of the pelvis at Neosho Memorial Regional Medical Center, the facility's cash median rate of $317.00 is significantly higher than the state average of $106.81, which is based on Medicare reimbursement. While commercial insurance plans such as Blue Cross Blue Shield and United have negotiated rates ranging from $135 to $352, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket if they qualify for prompt-pay discounts. It is important to note that while the facility is a Critical Access Hospital in Chanute, KS, and is government-owned, the lack of a contract with some payers could theoretically lead to balance billing for out-of-network services, though the No Surprises Act protects patients from surprise bills for emergency care and non-emergency services at in-network facilities.
To ensure you are receiving the most accurate pricing, we recommend requesting an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. If you choose to pay directly, ask the billing department about self-pay or prompt-pay discounts, which can reduce the total cost by 20% to 50% and bypass the administrative overhead associated with insurance claims processing. Always verify your specific plan's deductible status and allowed amounts prior to scheduling, as assuming that an in-network rate is the lowest possible price can result in paying significantly more than necessary.