CMS Price Transparency Data

X-ray, pelvis

Facility: Ogallala Community Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $235
  • Cash Discount Price: $177
  • vs. Medicare Baseline: 2.20x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Ogallala Community Hospital is $235. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $177. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.20x the Medicare baseline. Located in 2601 North Spruce St, Ogallala, NE.
Cash / Self-Pay
$177

Average discount available for prompt cash payment at this facility.

Insurance Median
$235

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: $177 (166%)
Insurance Median: $235 (220%)
Cash: $177 (166% of Medicare)
Ins. Median: $235 (220% 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 220% of the Medicare baseline (a markup of 120%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Banner Health $109 102%
Blue Cross Blue Shield $109 - $237 102%
Medica $109 - $235 102%
Triwest Healthcare Alliance Corp - Va Ccn $109 102%
UnitedHealthcare $114 - $235 107%
Molina Healthcare $121 113%
Nebraska Total Care $121 113%
Keith County Sheriff’S Office $185 173%
Apostrophe, Inc. $222 208%
Coventry $237 222%
First Health $237 222%
Midlands Choice $237 222%
Multiplan $240 225%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2601 North Spruce St, Ogallala, NE 69153
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals