X-ray, pelvis
Facility: Children'S Mercy South
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $19
- Cash Discount Price: $105
- vs. Medicare Baseline: 0.18x 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 |
|---|---|---|
| UnitedHealthcare | $7 - $276 | 7% |
| Cigna | $8 - $286 | 7% |
| Healthy Blue | $8 - $273 | 7% |
| Medicaid / KanCare | $8 - $70 | 7% |
| Home State Health | $10 - $240 | 9% |
| Health Midwest Comprehensive Care | $11 - $268 | 10% |
| Healthlink | $11 - $362 | 10% |
| Wppa Providrs Care | $11 - $267 | 10% |
| American Healthcare Alliance | $12 - $349 | 11% |
| Quiktrip | $12 - $268 | 11% |
| Blue Cross Blue Shield | $13 - $304 | 12% |
| Multiplan | $15 - $312 | 14% |
| Medica | $15 - $240 | 14% |
| Aetna | $15 - $279 | 14% |
| Wellfit/Centrus | $16 - $267 | 15% |
| Centivo | $16 - $267 | 15% |
| Nebraska Furniture Mart | $16 - $267 | 15% |
| Humana | $17 - $273 | 16% |
| Orscheln | $17 - $267 | 16% |
| Mercy Health | $18 - $308 | 17% |
| Coxhealth Network | $18 - $304 | 17% |
| Coventry Health Care Of Kansas | $19 - $304 | 18% |
| National Preferred Provider Network | $22 - $370 | 21% |
Consumer Guidance & Cost Commentary
For the X-ray of the pelvis at Children's Mercy South in Overland Park, Kansas, the facility's cash payment rate is $105.00, which is 20% lower than the Medicare benchmark of $106.81. This cash price is significantly lower than the gross charge of $218.00 and represents a substantial discount compared to the state average. While commercial insurance plans like UnitedHealthcare and Blue Cross Blue Shield negotiate rates ranging from $7 to $370, these negotiated amounts often exceed the cash price due to administrative costs and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, as the insurance negotiated rate could be much higher than the $105.00 self-pay amount.
To ensure you receive the most accurate pricing, it is recommended to request an itemized bill before finalizing payment, as summary bills can obscure individual charges and potential errors. If you choose to use insurance, be aware that while in-network contracts prevent balance billing for emergency services under the No Surprises Act, you should still verify your deductible status, as you may be responsible for the full negotiated amount if you have not yet met your plan's threshold. Additionally, ask the billing department about prompt-pay discounts, which can reduce the total cost by 20% to 50% if paid in full upfront, bypassing the administrative overhead associated with insurance claims processing.