CMS Price Transparency Data

CT scan, pelvis

Facility: Page Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $132
  • Cash Discount Price: $816
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Page Hospital is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $816. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.24x the Medicare baseline. Located in 501 North Navajo Drive, Page, AZ.
Cash / Self-Pay
$816

Average discount available for prompt cash payment at this facility.

Insurance Median
$132

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: $816 (764%)
Insurance Median: $132 (124%)
Cash: $816 (764% of Medicare)
Ins. Median: $132 (124% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Humana $47 - $920 44%
Plotkin Health $63 - $1,220 59%
Aetna $74 - $2,462 69%
Arizona Physicians Ipa $74 - $1,437 69%
Banner Health $74 - $1,437 69%
Banner University Health Plan $74 - $1,437 69%
Blue Cross Blue Shield $74 - $2,140 69%
Care 1St $74 - $1,437 69%
Cigna $74 - $2,498 69%
Gila River Health Care Corporation $74 - $1,437 69%
Health Choice Arizona, Inc. $74 - $1,749 69%
Health Net $74 - $2,127 69%
Kaiser Foundation Health Plan $74 - $1,437 69%
Mercy Care $74 - $1,437 69%
Triwest Healthcare Alliance Corp - Va Ccn $74 - $1,437 69%
Upmc Health Plan $74 - $1,437 69%
Wellpoint $74 - $1,437 69%
Carelon $77 - $1,509 72%
Arizona Priority Care $81 - $1,581 76%
Devoted Health Services $81 - $1,581 76%
Gold Kidney Health Plan $81 - $1,581 76%
Quiktrip Corporation $97 - $1,898 91%
Coconino County Sheriff'S Department $101 - $1,980 95%
Oscar Health Plan $122 - $2,372 114%
Provider Network Of America $125 - $2,441 117%
Arizona Medical Network $132 - $2,576 124%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $132 - $2,576 124%
UnitedHealthcare $1,437 - $1,492 1345%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 North Navajo Drive, Page, AZ 86040
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals