CMS Price Transparency Data

CT scan, pelvis

Facility: Glendale Adventist Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $184
  • Cash Discount Price: $379
  • vs. Medicare Baseline: 1.72x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Glendale Adventist Medical Center is $184. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $379. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.72x the Medicare baseline. Located in 1509 E Wilson Terrace, Glendale, CA.
Cash / Self-Pay
$379

Average discount available for prompt cash payment at this facility.

Insurance Median
$184

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: $379 (355%)
Insurance Median: $184 (172%)
Cash: $379 (355% of Medicare)
Ins. Median: $184 (172% 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
Cigna $28 - $574 26%
Alignment Hp Mcr Adv - All Plans $53 - $6,434 50%
Blue Shield Mcr Adv $53 - $134 50%
Caremore Mcr Adv - All Plans $53 - $514 50%
Clever Care Mcr Adv - All Plans $53 - $134 50%
Healthcare Partners- All Plans $53 - $644 50%
La Care Mcr Adv- All Plans $53 - $2,000 50%
Molina Mcr $53 - $134 50%
Scan Mcr Adv - All Plans $53 - $2,500 50%
Tricare $53 - $134 50%
UnitedHealthcare $53 - $2,606 50%
Aetna $55 - $986 51%
Blue Cross Blue Shield $55 - $1,230 51%
Ah Employee Health Plan - All Plans $58 - $242 54%
Heritage Sr $60 - $63 56%
Heritage Commercial - All Other Plans $63 - $67 59%
Regal Medical Group Commercial - All Other Plans $63 - $161 59%
Dept Of State Hsp Metropolitan- All Plans $69 - $175 65%
Molina Exchange - All Other Plans $71 - $182 66%
Healthnet Mcr Adv $75 - $9,136 70%
Healthnet - All Other Plans $77 - $1,674 72%
Centivo - All Plans $79 - $303 74%
Western Growers/Pinnacle - All Plans $79 - $2,767 74%
Blue Shield Epn - All Other Plans $94 - $2,368 88%
First Health- All Plans $97 - $3,732 91%
Blue Shield Non Epn $99 - $2,728 93%
Phcs- All Plans $109 - $4,182 102%
Bc Medi-Cal $128 - $131 120%
Blue Shield Medi-Cal $128 - $512 120%
Medi-Cal $128 - $205 120%
Molina Mcal $128 - $205 120%
Corvel- All Plans $134 - $5,147 125%
Regal Med Group Mcal $134 125%
Heritage Mcal $135 - $217 126%
Health Mgmt Network - All Plans $143 - $5,469 134%
Kaiser - All Plans $143 - $5,469 134%
Healthnet Mcal $152 - $244 142%
Phys Assoc Op Only- All Plans $180 169%
Employers Health Network - All Plans $300 281%
Beech Street - All Plans $3,620 - $4,826 3389%
Choicecare - All Plans $3,620 - $4,826 3389%
Three Rivers - All Plans $4,102 - $5,469 3840%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1509 E Wilson Terrace, Glendale, CA 91206
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals