CMS Price Transparency Data

X-ray, pelvis

Facility: Memorial Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $324
  • Cash Discount Price: $589
  • vs. Medicare Baseline: 3.03x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Memorial Hospital is $324. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $589. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.03x the Medicare baseline. Located in 511 Ne 10Th St, Abilene, KS.
Cash / Self-Pay
$589

Average discount available for prompt cash payment at this facility.

Insurance Median
$324

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: $589 (551%)
Insurance Median: $324 (303%)
Cash: $589 (551% of Medicare)
Ins. Median: $324 (303% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 303% of the Medicare baseline (a markup of 203%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $134 125%
Tricare $294 275%
Humana $294 275%
Medicare (plans) $297 278%
Ambetter / Centene $324 303%
Coventry - All Other Plans $530 496%
Health Partners Of Kansas - All Plans $559 523%
Preferred Healthcare-All Plans $559 523%
Wppa/Providers Care-All Plans $824 771%

Consumer Guidance & Cost Commentary

For the X-ray, pelvis procedure (CPT 72170) at Memorial Hospital in Abilene, KS, the cash price is $589.00, which matches the facility's median negotiated rate of $324.00 for in-network payers like Blue Cross Blue Shield and Tricare. While the facility is a Critical Access Hospital with a government ownership structure, the cash price is significantly higher than the Medicare benchmark of $106.81, reflecting a markup common in commercial billing. It is important to note that for patients with high-deductible plans, paying the cash price of $589.00 upfront may be more cost-effective than relying on insurance, as the negotiated rate of $324.00 often exceeds the cash price once deductibles and copays are factored in. Additionally, patients should inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full before or shortly after the service.

This facility's pricing data is based on a 2026-06 vintage and includes nine distinct payers, with rates ranging from $134 for Blue Cross Blue Shield to $824 for Wppa/Providers Care. The median negotiated amount of $324.00 represents the average amount commercial insurers agreed to pay, which is lower than the gross charge of $589.00 but still substantially higher than the Medicare rate. Because Medicare rates serve as the federal baseline for cost, the commercial rates here are well above the 120% to 150% fair

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 511 Ne 10Th St, Abilene, KS 67410
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals