CMS Price Transparency Data

CT scan, pelvis

Facility: Nemours Children's Hospital, Delaware

Billing Code: 72192 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$192
about 1.8× the $107 Medicare rate · typically $128–$269
modeled estimate · not a bill or quote
What this hospital charges insurers
$229
Above the fair price
about $37 over the fair price · 2.1× Medicare
Medicare pays $107 Fair price $192 This hospital $229 Cash price $3,177 Hospital's list price $3,177

How we calculate the fair BaseRate →

How this hospital compares to other DE hospitals

A typical price — 3 charge more and 5 charge less, among the 9 DE hospitals compared.

Cheapest $131 Priciest $548

Black dot = this hospital, among the 9 DE hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, pelvis is about $192 (about 1.8× the $107 Medicare rate). Nemours Children's Hospital, Delaware charges insurers about $229, or about $3,177 in cash — above the fair price. Located in Wilmington, DE.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $192. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $1,166 - $1,982 1092%
Blue Cross Blue Shieldmajor $1,175 - $2,806 1100%
Aetnamajor $1,348 - $1,843 1262%
Cignamajor $1,747 - $2,002 1636%
Ambetter (Centene) $1,811 1696%
AmeriHealth $973 - $1,811 911%
Fidelis Care $1,271 1190%
Geisinger $1,906 1784%
HealthPartners $1,232 1153%
UPMC Health Plan $1,258 1178%
+ 14 smaller / regional plans $52 - $3,177
Government programs also on file: Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1600 Rockland Rd Po Box 269, Wilmington, DE 19899
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens