CMS Price Transparency Data

CT scan, pelvis

Facility: Memorial Care Miller Children's & Women's Hosp Lb

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $303
Cash Discount Price: $5,038
vs. Medicare Baseline: 2.84x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Memorial Care Miller Children's & Women's Hosp Lb is $303. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,038. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.84x the Medicare baseline. Located in 2801 Atlantic Avenue, Long Beach, CA.

Cash / Self-Pay

$5,038

Average discount available for prompt cash payment at this facility.

Insurance Median

$303

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: $5,038 (4717%)

Insurance Median: $303 (284%)

Cash: $5,038 (4717% of Medicare)

Ins. Median: $303 (284% 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 284% of the Medicare baseline (a markup of 184%). 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
Select Health	$87	81%
Monarch Health Plan	$128 - $356	120%
Caremore	$134	125%
UnitedHealthcare	$134	125%
Blue Cross Blue Shield	$141 - $382	132%
Global Care Medical Group	$161	151%
Healthcare Partners	$168 - $366	157%
Molina	$218	204%
Centivo	$303	284%
Cigna	$305 - $442	286%
Blue Shield	$2,026 - $2,993	1897%

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 $5,038.
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 Memorial Care Miller Children's & Women's Hosp Lb 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.