X-ray, pelvis
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $99
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.93x 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 |
|---|---|---|
| Aetna | $26 - $73 | 24% |
| Coventry City Of Wichita | $46 | 43% |
| Va | $98 | 92% |
| Medicare (plans) | $98 - $100 | 92% |
| Humana | $98 | 92% |
| Vc Hope | $98 | 92% |
| Blue Cross Blue Shield | $100 | 94% |
| UnitedHealthcare | $100 - $275 | 94% |
| Smarthealth | $138 | 129% |
| Medicaid / KanCare | $167 | 156% |
| Cigna | $236 | 221% |
Consumer Guidance & Cost Commentary
For the CPT code 72170 (X-ray, pelvis) at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rates range from $26 to $275 depending on the insurance carrier, with a median negotiated amount of $99.00. While the facility is a Part A provider, the data does not include a specific cash-pay or self-pay rate, meaning patients with high-deductible plans should verify if paying out-of-pocket directly could result in a lower total cost than their insurance's negotiated rate. It is important to note that commercial rates often include administrative overhead and contract markups that can exceed the true cost of care; for instance, commercial negotiated rates frequently average between 200% and 300% of the Medicare benchmark, whereas fair pricing is typically defined as 120% to 150% of this federal baseline.
The Medicare amount for this service is $106.81, which serves as the objective cost baseline for evaluating pricing fairness. The facility's median negotiated rate of $99.00 is slightly below the Medicare benchmark of $106.81 (a ratio of 0.9), indicating that for many commercial payers, the facility is charging less than the federal government's calculated cost basis. However, individual commercial rates vary significantly, with UnitedHealthcare plans showing a wide range from $100 to $275. Patients should be aware that balance billing is generally prohibited for in-network services under the No Surprises Act, but unexpected charges can still occur if ancillary services like emergency physicians or specific lab tests are out-of-network. To minimize