CMS Price Transparency Data
CT scan, pelvis
Facility: Uc San Diego Health Hillcrest - Hillcrest Med Ctr
Billing Code: 72192 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72192
- Insurance Median: $1,152
- Cash Discount Price: $1,354
- vs. Medicare Baseline: 10.79x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Uc San Diego Health Hillcrest - Hillcrest Med Ctr is $1,152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,354. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.79x the Medicare baseline. Located in 200 West Arbor Drive, San Diego, CA.
Cash / Self-Pay
$1,354
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,152
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: $1,354 (1268%)
Insurance Median: $1,152 (1079%)
Cash: $1,354 (1268% of Medicare)
Ins. Median: $1,152 (1079% 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 1079% of the Medicare baseline (a markup of 979%). 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 |
|---|---|---|
| Champva [1020] | $106 | 99% |
| Mid County Physicians Med Grp [1054] | $106 | 99% |
| Ucr Prompt Pay Payor [8240] | $113 | 106% |
| Chargers Football Company [1109] | $135 | 126% |
| Padres Workers Compensation [2013] | $135 | 126% |
| Padres [2014] | $135 | 126% |
| Alameda Alliance For Health [2027] | $183 | 171% |
| Alignment Health Plan [2020] | $183 | 171% |
| Alternate Medi-Cal [2001] | $183 | 171% |
| Blue Cross Blue Shield | $183 - $1,443 | 171% |
| Brand New Day [1089] | $183 | 171% |
| California Department Of Public Health [1237] | $183 | 171% |
| California Health & Wellness Medi-Cal [1122] | $183 | 171% |
| Caremore [2028] | $183 | 171% |
| Cms - County Medical Services [1025] | $183 - $1,600 | 171% |
| Community Care Ipa [1131] | $183 | 171% |
| Community Eldercare [1027] | $183 | 171% |
| Federal Prison [1031] | $183 | 171% |
| Gold Coast Health Plan [2031] | $183 | 171% |
| Health Plan Of San Joaquin [2032] | $183 | 171% |
| Hemet Community Med Grp - Promisecare [1040] | $183 | 171% |
| Imperial Health Holdings [1132] | $183 | 171% |
| Kern Health Systems [2033] | $183 | 171% |
| La Care Health Plan [2025] | $183 | 171% |
| Medi-Cal [1048] | $183 | 171% |
| Medicaid / KanCare | $183 | 171% |
| Regal Mg 'Heritage Provider Network' [2019] | $183 | 171% |
| San Diego County [1071] | $183 - $1,230 | 171% |
| Sd Physicians Med Grp [1076] | $183 - $1,600 | 171% |
| State Of California [1082] | $183 | 171% |
| UnitedHealthcare | $183 - $2,953 | 171% |
| Unlisted Mcal Hmo Non-Contract [1049] | $183 | 171% |
| Vantage [1092] | $183 - $1,477 | 171% |
| Ximed [2016] | $183 | 171% |
| Blue Shield Promise [1017] | $210 | 197% |
| Alternate Molina [1240] | $231 | 216% |
| Molina [1055] | $231 | 216% |
| Community Health Group [1022] | $236 | 221% |
| Health Net [1039] | $247 - $6,915 | 231% |
| Inland Empire Health Plan Transplant [1126] | $256 | 240% |
| Inland Empire Health Plan [1121] | $256 | 240% |
| Cal Optima [1016] | $265 | 248% |
| Aetna | $295 - $1,075 | 276% |
| Cigna | $295 - $1,477 | 276% |
| Humana | $295 - $2,092 | 276% |
| Mc Blue Shield Generic Payor [164016] | $295 | 276% |
| Mc Blue Shield Hmo [164015] | $295 | 276% |
| Mc Brand New Day Generic Payor [164031] | $295 | 276% |
| Mc Brand New Day Hmo [164030] | $295 | 276% |
| Mc Healthnet Generic Payor [164010] | $295 | 276% |
| Mc Healthnet Hmo [164004] | $295 | 276% |
| Mc Hnet Blue&Gold Aco [164017] | $295 | 276% |
| Mc Scan Generic Payor [164034] | $295 | 276% |
| Mc Scan Hmo [164035] | $295 | 276% |
| Uc Aff Blue Shield Sr/Sdsm [164037] | $295 | 276% |
| Arch Health Partners [2000] | $541 | 507% |
| Scripps Clinic [1073] | $861 - $1,969 | 806% |
| Multicultural Med Grp [1057] | $893 | 836% |
| Alternate Scan Health [2088] | $984 | 921% |
| Elizabeth Hospice [2018] | $984 | 921% |
| Scan Health [1072] | $984 | 921% |
| Blue Shield [1014] | $1,044 - $1,486 | 977% |
| Olympus Managed Healthcare Inc [1102] | $1,075 | 1006% |
| Alternate Healthnet [1007] | $1,152 - $2,461 | 1079% |
| Usoc - Us Olympic Committee [1123] | $1,216 | 1138% |
| Global Excel [1036] | $1,230 | 1152% |
| Sharp Health Plan [1079] | $1,230 - $1,614 | 1152% |
| Alternate Blue Shield [2002] | $1,486 | 1391% |
| Blue Shield Transplants [1113] | $1,486 | 1391% |
| Alternate Sheriff Custody [1106] | $1,600 | 1498% |
| Axa Assistance [1098] | $1,600 | 1498% |
| Cassidy Med Grp [1019] | $1,600 | 1498% |
| Cmn - Canadian Medical Network [1024] | $1,600 | 1498% |
| Ets - Lifetrac Network [1103] | $1,600 | 1498% |
| Health Net Bh (Mhn) [1038] | $1,600 | 1498% |
| Health Net Bh (Mhn) [2010] | $1,600 | 1498% |
| Interlink Health Services Transplant [1124] | $1,600 | 1498% |
| Interlink Health Transplant [2085] | $1,600 | 1498% |
| Mgm Resorts [1053] | $1,600 | 1498% |
| National Healthcare Solutions Inc [1100] | $1,600 | 1498% |
| Quality Health [1069] | $1,600 | 1498% |
| San Diego County Sheriff Custody [2012] | $1,600 | 1498% |
| Scripps Coastal Med Grp [1074] | $1,600 | 1498% |
| Tri-City [1085] | $1,600 | 1498% |
| Graybill Med Grp [1037] | $1,614 | 1511% |
| Sharp Community Med Grp [1078] | $1,614 | 1511% |
| Sharp Rees Stealy [1080] | $1,614 | 1511% |
| Alternate Health Net Bh [2059] | $1,627 | 1523% |
| Healthnet Transplants [1114] | $1,627 | 1523% |
| Kaiser [1046] | $1,649 | 1544% |
| Embassy Sponsored [1101] | $1,673 - $1,723 | 1566% |
| Interplan [1045] | $1,723 | 1613% |
| Mercy Physicians Med Grp [1052] | $1,723 | 1613% |
| Pacific Foundation [1063] | $1,723 | 1613% |
| Beech Street [1012] | $1,846 | 1728% |
| First Health [1032] | $1,846 | 1728% |
| Admar [1001] | $1,895 | 1774% |
| Bps - Benefit Plan Services [1015] | $1,895 | 1774% |
| Multiplan [1058] | $1,895 | 1774% |
| Private Healthcare Systems [1067] | $1,895 - $2,461 | 1774% |
| Carnival Cruises [1018] | $1,969 | 1843% |
| Scripps Health Plan Services [1075] | $1,969 | 1843% |
| Alternate Kaiser Rad Onc [2089] | $2,461 | 2304% |
| Palomar Health [1128] | $2,953 | 2765% |
| Easy Choice [1029] | $3,076 | 2880% |
| Sharp Healthcare Transplant [1119] | $3,322 | 3110% |