CMS Price Transparency Data

CT scan, pelvis

Facility: University of Alabama Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $1,555
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 14.56x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at University of Alabama Hospital is $1,555. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 14.56x the Medicare baseline. Located in 619 South 19Th Street, Birmingham, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,555

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%)
Insurance Median: $1,555 (1456%)
Ins. Median: $1,555 (1456% 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 1456% of the Medicare baseline (a markup of 1356%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Humana $88 - $4,691 82%
Birmingham Fc $95 89%
Blue Cross Blue Shield $95 89%
Cooper Green $95 89%
Davita Villagehealth $95 89%
Jefferson County Sheriff $95 89%
Triwest $95 89%
UnitedHealthcare $95 - $3,001 89%
Viva $96 - $150 90%
Cigna $102 - $3,698 95%
Ambetter / Centene $131 123%
University Of Alabama $864 - $2,760 809%
Aetna $1,054 - $3,367 987%
Coventry $1,123 - $4,457 1051%
North Alabama Managed Care $1,123 - $3,587 1051%
Comp One $1,244 - $3,974 1165%
Construction Claims Management $1,293 - $4,128 1211%
Alamed $1,296 - $4,139 1213%
Corvel $1,382 - $4,415 1294%
Evolutions $1,382 - $4,967 1294%
Healthcare Alliance $1,382 - $4,415 1294%
Novanet $1,382 - $4,967 1294%
Prime Health Services $1,382 - $4,967 1294%
Select Value Care $1,382 - $4,415 1294%
Starcare $1,382 - $4,415 1294%
Tethys $1,382 - $4,415 1294%
Multiplan $1,417 - $4,526 1327%
Department Of Labor $1,469 - $4,691 1375%
Geha $1,469 - $4,691 1375%
Gulf Health Plans $1,469 - $4,691 1375%
Heritage Summit Health $1,469 - $4,691 1375%
Mississippi Physicians $1,469 - $4,691 1375%
Phifer $1,469 - $4,691 1375%
Preferred Health Partnership $1,469 - $4,691 1375%
Southern Nuclear $1,469 - $4,691 1375%
Vantage Health Plan $1,469 - $4,691 1375%
Galaxy Health Network $1,555 - $4,967 1456%
National Provider Network $1,555 - $4,967 1456%
North Mississippi Health Link $1,555 - $4,967 1456%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 619 South 19Th Street, Birmingham, AL 35233
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals