X-ray, pelvis
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $402
- Cash Discount Price: $537
- vs. Medicare Baseline: 3.76x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 376% of the Medicare baseline (a markup of 276%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $322 | 301% |
| Americas Choice Provider Network | $376 | 352% |
| Velocity | $402 | 376% |
| Quiktrip Corporation | $402 | 376% |
| Provider Network Of America | $402 | 376% |
| Usa Managed Care Organization | $402 | 376% |
| Multiplan-Phcs | $429 | 402% |
| Prime Health Services | $456 | 427% |
| Medincrease | $483 | 452% |
Consumer Guidance & Cost Commentary
For the X-ray, pelvis procedure at the Rehabilitation Hospital Of Overland Park, the cash price is $537.00, which matches the facility's median paid amount. This cash rate is significantly higher than the state of Kansas average, as indicated by a 3.8x multiplier relative to the Medicare benchmark of $106.81. While commercial insurance plans like Blue Cross Blue Shield and Americas Choice Provider Network negotiate rates ranging from $322 to $456, these negotiated amounts often exceed the cash price for patients with high-deductible plans. In such cases, paying the cash rate directly can be more cost-effective than relying on insurance, provided the patient understands that their specific plan's deductible status and allowed amounts will determine the final out-of-pocket cost.
Patients should be aware that commercial negotiated rates frequently include administrative overhead and do not represent the lowest possible price for the service. To potentially reduce costs, individuals should contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can lower the bill by 20% to 50% if paid upfront. It is also important to request a full itemized bill before agreeing to any payment plan, as summary bills may obscure errors or unbundled charges. If a patient receives a balance bill from an out-of-network provider, they should verify the legality of the charge under the No Surprises Act before making immediate payments, and always dispute any unexpected charges in writing to ensure accurate billing.