CMS Price Transparency Data

CT scan, pelvis

Facility: USA Health Children's & Women's Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $477
Cash Discount Price: $832
vs. Medicare Baseline: 4.47x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at USA Health Children's & Women's Hospital is $477. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $832. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.47x the Medicare baseline. Located in 1700 Center Street, Mobile, AL.

Cash / Self-Pay

$832

Average discount available for prompt cash payment at this facility.

Insurance Median

$477

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: $832 (779%)

Insurance Median: $477 (447%)

Cash: $832 (779% of Medicare)

Ins. Median: $477 (447% 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 447% of the Medicare baseline (a markup of 347%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Central Healthcare Services	$80 - $1,306	75%
Magnolia Health	$81	76%
Truecare	$81	76%
UnitedHealthcare	$81 - $1,410	76%
Molina Chip	$90	84%
Blue Cross Blue Shield	$130	122%
Aetna	$133 - $500	125%
Devoted Health	$133 - $1,828	125%
Humana	$133 - $1,697	125%
Viva Health	$133 - $1,306	125%
Wellcare	$133	125%
Molina Marketplace	$146	137%
Ambetter / Centene	$159	149%
Mississippi Physicians Care Network (Mpcn)	$179	168%
Cigna	$450 - $1,697	421%
Multiplan	$541 - $1,828	507%
Novanet	$749 - $2,350	701%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $832.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72192.

Insurance In-Network Protection Plan

Contact your insurance company to confirm USA Health Children's & Women's Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72192.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.