CMS Price Transparency Data

X-ray, pelvis

Facility: Centerpoint Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $461
Cash Discount Price: $1,718
vs. Medicare Baseline: 4.32x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Centerpoint Medical Center is $461. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,718. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.32x the Medicare baseline. Located in 19600 East 39Th Street, Independence, MO.

Cash / Self-Pay

$1,718

Average discount available for prompt cash payment at this facility.

Insurance Median

$461

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: $1,718 (1608%)

Insurance Median: $461 (432%)

Cash: $1,718 (1608% of Medicare)

Ins. Median: $461 (432% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 432% of the Medicare baseline (a markup of 332%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Global Sports Services	$25	23%
Multiplan	$30 - $1,549	28%
Blue Cross Blue Shield	$31 - $963	29%
Aetna	$33 - $1,068	31%
Humana	$33 - $42	31%
Corvel Corporation	$36 - $1,361	34%
Oha Network	$37 - $1,047	35%
United	$60 - $942	56%
Healthyblue	$61	57%
Amerigroup	$62	58%
Medicaid / KanCare	$62	58%
Unicare	$62	58%
Home State Health Plan	$63	59%
Cigna	$122 - $1,675	114%
Ambetter / Centene	$238 - $389	223%
Nhc Advantage	$243 - $398	228%
Wppa Providrs Care Network	$256 - $419	240%
Universal Healthcare	$448 - $733	419%
Coventry	$515 - $842	482%
Coventry Kc Mo	$525 - $858	492%
College Park Family Care Center	$551 - $900	516%
Cco, Inc.	$1,089 - $1,780	1020%
Focus Healthcare Mgmt, Inc	$1,153 - $1,884	1079%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,718.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72170.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Centerpoint Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72170.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.