CMS Price Transparency Data
X-ray, pelvis
Facility: Mercy Hospital Joplin
Billing Code: 72170 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72170
- Insurance Median: $163
- Cash Discount Price: $251
- vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Mercy Hospital Joplin is $163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $251. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.53x the Medicare baseline. Located in 100 Mercy Way, Joplin, MO.
Cash / Self-Pay
$251
Average discount available for prompt cash payment at this facility.
Insurance Median
$163
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: $251 (235%)
Insurance Median: $163 (153%)
Cash: $251 (235% of Medicare)
Ins. Median: $163 (153% 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 | $16 - $95 | 15% |
| Blue Cross Blue Shield | $16 - $281 | 15% |
| Humana | $16 - $116 | 15% |
| Indian Health Service Contracted [320198] | $16 - $251 | 15% |
| Medicaid / KanCare | $16 - $163 | 15% |
| Ambetter / Centene | $44 | 41% |
| Home State Health Plan Contracted [320187] | $44 | 41% |
| Novasys Contracted [320285] | $44 | 41% |
| Champva [20065] | $95 | 89% |
| Cherokee Nation Health Serv Contracted [320066] | $95 | 89% |
| Cigna | $95 - $467 | 89% |
| Cross Timbers Hospice [20098] | $95 | 89% |
| Dept Of Veteran Affairs Contracted [320106] | $95 | 89% |
| Elara Caring Aspire Hospice [20433] | $95 | 89% |
| Globalhealth Contracted [320145] | $95 | 89% |
| Halo Hcr Inc Hospice Contracted [320432] | $95 | 89% |
| Halo Hcr Inc Hospice [20432] | $95 | 89% |
| Kindful Hospice Contracted [320434] | $95 | 89% |
| Kindful Hospice [20434] | $95 | 89% |
| Medicare (plans) | $95 - $100 | 89% |
| Mercy Hospice Okc [20252] | $95 | 89% |
| Mercy Mgd Behavioral Health Contracted [320259] | $95 | 89% |
| Pace Of The Ozarks Contracted [320518] | $95 | 89% |
| Provider Partners Health Plans Contracted [320450] | $95 | 89% |
| Qual Choice Contracted [320325] | $95 | 89% |
| Tricare | $95 | 89% |
| UnitedHealthcare | $95 - $245 | 89% |
| Centivo Contracted [320505] | $97 | 91% |
| United Medical Resources Contracted [320454] | $112 - $245 | 105% |
| Healthlink Contracted [320179] | $119 - $251 | 111% |
| Healthscope Contracted [320182] | $121 | 113% |
| Point C Contracted [320238] | $135 - $309 | 126% |
| Medica Contracted [320239] | $140 | 131% |
| 90 Degree Benefits Contracted [320436] | $158 | 148% |
| Mercy Benefit Admin Contracted [320251] | $158 - $220 | 148% |
| Show-Me Health Administrators Contracted [320483] | $158 - $166 | 148% |
| Benefit Management Contracted [320052] | $166 | 155% |
| Health Systems Inc Contracted [320174] | $166 | 155% |
| Insurance System Inc Contracted [320465] | $166 | 155% |
| Administrative Payor Contracted [320005] | $174 | 163% |
| Providrs Care Network Contracted [320484] | $197 | 184% |
| Health Choice Contracted [320166] | $213 | 199% |
| Aither Health Contracted [320449] | $220 | 206% |
| Auxiant Contracted [320462] | $220 - $251 | 206% |
| Ebms Contracted [320493] | $220 | 206% |
| Edison Health Solutions Contracted [320502] | $220 | 206% |
| Imagine 360 Contracted [320494] | $220 | 206% |
| Reflect Health Contracted [320492] | $220 | 206% |
| Yuzu Health Contracted [320521] | $220 | 206% |
| Preferred Health Plan Contracted [320522] | $251 | 235% |
| First Health Contracted [320128] | $263 | 246% |
| American Healthcare Alliance Contracted [320020] | $270 | 253% |
| Multiplan Contracted [320270] | $297 | 278% |
| Private Health Care Systems Contracted [320320] | $297 | 278% |
| Usable Contracted [320409] | $297 | 278% |
| Point C [20238] | $309 | 289% |
| Workers Comp [20426] | $309 - $386 | 289% |
| Usa Managed Care Org Contracted [320429] | $340 | 318% |
| Ppo Plus Contracted [320310] | $347 | 325% |