CMS Price Transparency Data

X-ray, pelvis

Facility: Belton Regional Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $109
  • Cash Discount Price: $2,301
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Belton Regional Medical Center is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,301. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.02x the Medicare baseline. Located in 17065 S 71 Highway, Belton, MO.
Cash / Self-Pay
$2,301

Average discount available for prompt cash payment at this facility.

Insurance Median
$109

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: $2,301 (2154%)
Insurance Median: $109 (102%)
Cash: $2,301 (2154% of Medicare)
Ins. Median: $109 (102% 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
Multiplan $30 - $1,703 28%
Blue Cross Blue Shield $31 - $943 29%
Aetna $33 - $1,173 31%
Humana $33 - $42 31%
Corvel Corporation $36 - $1,496 34%
Oha Network $37 - $1,150 35%
United $60 - $1,035 56%
Healthyblue $61 57%
Amerigroup $62 58%
Medicaid / KanCare $62 58%
Unicare $62 58%
Home State Health Plan $64 60%
Cigna $122 - $181 114%
Ambetter / Centene $428 401%
Nhc Advantage $437 409%
Wppa Providrs Care Network $460 431%
Universal Healthcare $805 754%
Coventry $925 866%
Coventry Kc Mo $943 883%
College Park Family Care Center $989 926%
Cco, Inc. $1,956 1831%
Focus Healthcare Mgmt, Inc $2,071 1939%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 17065 S 71 Highway, Belton, MO 64012
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals