CMS Price Transparency Data

CT scan, pelvis

Facility: HCA Healthone Spalding Rehabilitation

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $1,185
Cash Discount Price: $3,558
vs. Medicare Baseline: 11.09x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at HCA Healthone Spalding Rehabilitation is $1,185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,558. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.09x the Medicare baseline. Located in 900 Potomac St, Aurora, CO.

Cash / Self-Pay

$3,558

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,185

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: $3,558 (3331%)

Insurance Median: $1,185 (1109%)

Cash: $3,558 (3331% of Medicare)

Ins. Median: $1,185 (1109% 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 1109% of the Medicare baseline (a markup of 1009%). 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
Pinnacol Workers Comp	$169	158%
Multiplan	$176 - $3,203	165%
United	$185 - $1,601	173%
Rocky Mountain Health Plan	$245	229%
Vail Health	$541	507%
Blue Cross Blue Shield	$750 - $2,420	702%
Cigna	$957 - $2,277	896%
Aetna	$1,068 - $1,804	1000%
Kaiser	$1,185 - $2,121	1109%
Western Plains Community Health	$2,313	2166%
Triwest Health Alliance	$2,847	2665%
Prime Health	$3,203	2999%

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 $3,558.
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 HCA Healthone Spalding Rehabilitation 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.