CMS Price Transparency Data

CT scan, pelvis

Facility: Desert Valley Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $134
  • Cash Discount Price: $133
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Desert Valley Hospital is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 16850 Bear Valley Rd, Victorville, CA.
Cash / Self-Pay
$133

Average discount available for prompt cash payment at this facility.

Insurance Median
$134

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: $133 (125%)
Insurance Median: $134 (125%)
Cash: $133 (125% of Medicare)
Ins. Median: $134 (125% 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 Shield Of Promise $117 - $134 110%
Heritage Victor Valley Medical Group $117 - $174 110%
High Desert Pace $117 - $134 110%
Molina $117 - $134 110%
Traditional Medi-Cal $117 110%
Vantage Care $117 - $134 110%
Health Net Of Ca $125 - $199 117%
Blue Shield Of Ca $132 - $319 124%
Aetna $134 - $462 125%
Alignment $134 125%
Blue Cross Blue Shield $134 - $1,077 125%
Choice Physicians Network $134 125%
Elite Health Plan $134 125%
Epic Health Plan $134 125%
High Desert Primary Care $134 125%
Inland Empire Foundation For Medical Care $134 125%
Inland Empire Health Plan $134 - $170 125%
Medicare (plans) $134 125%
Renal Payor Solutions $134 125%
The Geo Group Inc $134 125%
Tricare $134 125%
UnitedHealthcare $134 - $307 125%
Brand New Day $135 - $201 126%
Imperial Health Plan Of Ca $142 133%
Wellpath $161 151%
Prime Health Services Inc $169 158%
Workers Compensation $176 165%
Employer Direct Healthcare $187 175%
Naphcare $187 175%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16850 Bear Valley Rd, Victorville, CA 92395
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals