CMS Price Transparency Data

CT scan, pelvis

Facility: Sharp Chula Vista Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $1,595
Cash Discount Price: $1,961
vs. Medicare Baseline: 14.93x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Sharp Chula Vista Medical Center is $1,595. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,961. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 14.93x the Medicare baseline. Located in 751 Medical Center Court, Chula Vista, CA.

Cash / Self-Pay

$1,961

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,595

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: $1,961 (1836%)

Insurance Median: $1,595 (1493%)

Cash: $1,961 (1836% of Medicare)

Ins. Median: $1,595 (1493% 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 1493% of the Medicare baseline (a markup of 1393%). 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
Aetna	$165 - $2,354	154%
Interplan	$732 - $1,668	685%
Blue Cross Blue Shield	$777 - $2,014	727%
Molina	$777 - $2,092	727%
UnitedHealthcare	$777	727%
Health Net	$1,046 - $2,092	979%
Allianz Global Assistance	$1,253 - $1,715	1173%
Epic Americas	$1,253	1173%
Humana	$1,253 - $1,961	1173%
Managed Health Network	$1,253	1173%
Medicare (plans)	$1,253	1173%
California Health And Wellness	$1,595	1493%
Cigna	$1,595 - $1,715	1493%
Community Health Group	$1,595 - $1,830	1493%
Blue Shield	$1,668 - $2,092	1562%
Indian Health Council	$1,752	1640%
Kaiser	$1,830	1713%
Multiplan	$1,830 - $2,092	1713%

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 $1,961.
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 Sharp Chula Vista Medical Center 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.