X-ray, pelvis
Facility: Bob Wilson Memorial Hospital
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $228
- Cash Discount Price: $112
- vs. Medicare Baseline: 2.13x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 213% of the Medicare baseline (a markup of 113%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Kansas Health | $89 | 83% |
| Medicare (plans) | $89 | 83% |
| UnitedHealthcare | $89 - $233 | 83% |
| Aetna | $89 - $224 | 83% |
| Humana | $89 | 83% |
| Centura Employee Plan | $91 | 85% |
| Blue Cross Blue Shield | $169 | 158% |
| Multiplan | $252 - $260 | 236% |
| Health Partners Of Kansas | $263 | 246% |
| Wppa | $265 | 248% |
Consumer Guidance & Cost Commentary
For the CPT code 72170 (X-ray, pelvis) at Bob Wilson Memorial Hospital in Ulysses, KS, the cash median price is $112.00, while the median negotiated rate across ten payers is $228.00. This facility, a voluntary non-profit Critical Access Hospital, offers a cash price that is significantly lower than the commercial negotiated rates, which range from $89 to $265 depending on the insurer. For patients with high-deductible plans, paying the cash price of $112.00 upfront may be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount. It is important to note that while Medicare sets a benchmark of $106.81 for this service, commercial contracts frequently result in higher out-of-pocket costs for members who have not yet met their deductibles.
To ensure you are receiving the most accurate pricing, always request an itemized bill before finalizing payment, as summary bills can obscure individual charges and potential errors. If you choose to use insurance, verify your deductible status beforehand, as the facility's negotiated rates are designed to cover administrative costs and claims processing, which can inflate the baseline price. Additionally, ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the final amount owed by 20% to 50% if settled in full within a short window. Since balance billing protections apply to emergency care and non-emergency services at in-network facilities, you should dispute any unexpected charges that exceed the allowed amount rather than paying immediately.