CMS Price Transparency Data

CT scan, pelvis

Facility: Oroville Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $189
  • Cash Discount Price: $511
  • vs. Medicare Baseline: 1.77x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Oroville Hospital is $189. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $511. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.77x the Medicare baseline. Located in 2767 Olive Highway, Oroville, CA.
Cash / Self-Pay
$511

Average discount available for prompt cash payment at this facility.

Insurance Median
$189

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: $511 (478%)
Insurance Median: $189 (177%)
Cash: $511 (478% of Medicare)
Ins. Median: $189 (177% 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
Blue Cross Blue Shield $54 - $2,027 51%
Butte County $69 - $642 65%
Aetna $105 98%
Community Care $105 98%
Nivano Physicians Inc $105 98%
UnitedHealthcare $105 - $1,567 98%
River City Medical Group $115 108%
Cigna $159 - $1,474 149%
Coventry Health Care $159 - $1,474 149%
Health Net $159 - $1,474 149%
Multiplan $159 - $1,474 149%
Interplan $169 - $1,567 158%
Three Rivers Provider Network $169 - $1,567 158%
Partnership Healthplan Of California $173 162%
Beech Street $179 - $1,659 168%
Healthstar $179 - $1,659 168%
Health Payors Organization $189 - $1,751 177%
Blue Shield Of California $193 - $1,788 181%
Blue Shield Value Network $364 341%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2767 Olive Highway, Oroville, CA 95966
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals