CMS Price Transparency Data

X-ray, pelvis

Facility: Ascension Via Christi Rehabilitation Hospital Inc

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $99
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Ascension Via Christi Rehabilitation Hospital Inc is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.93x the Medicare baseline. Located in 1151 N Rock Rd, Wichita, KS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$99

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%)
Insurance Median: $99 (93%)
Ins. Median: $99 (93% 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.

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
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

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1151 N Rock Rd, Wichita, KS 67206
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL