X-ray, pelvis
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $98
- Cash Discount Price: $56
- vs. Medicare Baseline: 0.92x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $7 - $94 | 7% |
| Aetna | $7 - $94 | 7% |
| UnitedHealthcare | $7 - $275 | 7% |
| Providrs Care | $11 - $35 | 10% |
| Tricare | $46 | 43% |
| Humana | $98 - $99 | 92% |
| Medicare (plans) | $98 - $100 | 92% |
| Va | $98 | 92% |
| Blue Cross Blue Shield | $137 - $144 | 128% |
| Smarthealth | $138 | 129% |
| Ambetter / Centene | $167 | 156% |
Consumer Guidance & Cost Commentary
For the CPT code 72170 (X-ray, pelvis), Ascension Via Christi Hospital Manhattan, Inc. lists a gross charge of $139.00, which is significantly higher than the cash median of $56.00. While the facility's negotiated rates with major payers like UnitedHealthcare and Aetna range between $7 and $275, the cash price remains the lowest fixed amount available at this location. It is important to note that for patients with high-deductible plans, paying the cash price of $56.00 upfront may be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash rate. Additionally, patients should inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by offering immediate liquidity incentives that bypass costly administrative processing fees.
When evaluating the facility's pricing against broader benchmarks, the Medicare amount of $106.81 serves as a critical reference point, with the facility's gross charge representing a markup of 1.30 times the Medicare rate. The median negotiated rate of $98.00 sits between the cash price and the gross charge, reflecting the administrative costs and contractual structures inherent in insurance billing. While the facility is located in Manhattan, KS (ZIP 66502), the provided data does not include specific county or state average comparisons for this procedure; however, the facility maintains a 4-star rating and operates as a voluntary non-profit acute care hospital. Consumers are advised to request an itemized billing audit before payment, as over 80% of hospital bills contain errors, and to avoid balance billing by ensuring all