CMS Price Transparency Data
CT scan, pelvis
Facility: Adventist Health Clearlake
Billing Code: 72192 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$1,038
about 9.7× the $107 Medicare rate · typically $197–$1,715
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $1,038 Cash price $1,736 Hospital's list price $4,823
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $1,037 - $4,298 | 971% |
| Blue Cross Blue Shieldmajor | $873 - $2,288 | 817% |
| Aetnamajor | $3,356 - $3,851 | 3142% |
| Cignamajor | $4,042 - $4,639 | 3784% |
| Humanamajor | $3,817 - $4,381 | 3574% |
| Kaiser Permanentemajor | $943 - $4,639 | 883% |
| Health Net | $3,683 - $4,226 | 3448% |
| + 6 smaller / regional plans | $205 - $8,504 |
Government programs also on file: Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Adventist Health Clearlake
Compare: CT scan, pelvis at other CA hospitals
- Saint Agnes Medical Center · Fresno $46
- Mayers Memorial Hospital · Fall River Mills $52
- Resnick Neuropsychiatric Hospital at UCLA · Los Angeles $58
- Adventist Health Vallejo · Vallejo $68
- Trinity Hospital · Weaverville $83
- Adventist Health Howard Memorial · Willits $88
- Adventist Health Tehachapi Valley · Tehachapi $97
- Adventist Health Mendocino Coast · Fort Bragg $100
Insurance negotiated median for the same procedure, sorted lowest first.