CMS Price Transparency Data

X-ray, pelvis

Facility: The Children's Mercy Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $19
  • Cash Discount Price: $105
  • vs. Medicare Baseline: 0.18x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at The Children's Mercy Hospital is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $105. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.18x the Medicare baseline. Located in 2401 Gillham Road, Kansas City, MO.
Cash / Self-Pay
$105

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $105 (98%)
Insurance Median: $19 (18%)
Cash: $105 (98% of Medicare)
Ins. Median: $19 (18% 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
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%
Aetna $15 - $279 14%
Medica $15 - $240 14%
Multiplan $15 - $312 14%
Centivo $16 - $267 15%
Nebraska Furniture Mart $16 - $267 15%
Wellfit/Centrus $16 - $267 15%
Humana $17 - $273 16%
Orscheln $17 - $267 16%
Coxhealth Network $18 - $304 17%
Mercy Health $18 - $308 17%
Coventry Health Care Of Kansas $19 - $304 18%
National Preferred Provider Network $22 - $370 21%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2401 Gillham Road, Kansas City, MO 64108
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens