X-ray, pelvis
Facility: Childrens Hospital of Wisconsin
Billing Code: 72170 (CPT)
- CPT Billing Code: 72170
- Insurance Median: $313
- Cash Discount Price: $204
- vs. Medicare Baseline: 2.93x 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 293% of the Medicare baseline (a markup of 193%). 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 |
|---|---|---|
| Froedtert Health | $259 - $314 | 242% |
| Medical College of Wisconsin | $259 | 242% |
| Network Health Plan | $263 | 246% |
| UnitedHealthcare | $272 - $282 | 255% |
| Trilogy Health Solutions | $278 - $314 | 260% |
| Aspirus Health Plan | $278 | 260% |
| Common Ground Healthcare Cooperative | $278 - $314 | 260% |
| Wps Health Plan | $281 - $333 | 263% |
| Advocate Aurora Healthcare | $285 | 267% |
| Health Partners | $289 - $326 | 271% |
| Centivo | $289 | 271% |
| Blue Cross Blue Shield | $289 - $352 | 271% |
| Employer Health Care Alliance Cooperative | $290 | 272% |
| Group Health Cooperative of Eau Claire | $296 | 277% |
| Dean Health Plan | $296 | 277% |
| Oan LLC | $296 | 277% |
| Security Health Plan | $307 | 287% |
| Health Payment Systems | $313 | 293% |
| Praire States | $314 | 294% |
| Sheboygan Employer's Health Network | $314 | 294% |
| Quartz Health Insurance | $314 | 294% |
| Mayo Clinic Health Solutions | $322 | 301% |
| Aetna | $326 - $329 | 305% |
| Group Health Cooperative of South Central Wisconsin | $333 | 312% |
| Prevea Health Network | $333 | 312% |
| Cigna | $333 | 312% |
| Bellin Thedacare | $333 | 312% |
| Multiplan | $337 - $352 | 316% |
| Coventry Health Care | $352 | 330% |