CMS Price Transparency Data

CT scan, pelvis

Facility: University Hospital and Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $4,907
Cash Discount Price: $19,747
vs. Medicare Baseline: 45.94x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at University Hospital and Medical Center is $4,907. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19,747. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 45.94x the Medicare baseline. Located in 7201 N University Dr, Tamarac, FL.

Cash / Self-Pay

$19,747

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,907

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: $19,747 (18488%)

Insurance Median: $4,907 (4594%)

Cash: $19,747 (18488% of Medicare)

Ins. Median: $4,907 (4594% 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 4594% of the Medicare baseline (a markup of 4494%). 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
United	$245 - $8,886	229%
Aetna	$769 - $5,924	720%
Avmed	$890 - $9,874	833%
Freedom Health	$1,698 - $3,160	1590%
Optimum	$1,698	1590%
Simply Healthcare Plans	$2,567	2403%
Corvel Corporation	$2,652	2483%
Careworks (Rockport)	$2,707	2534%
Prime Health	$2,707	2534%
Molina	$3,752 - $5,332	3513%
Health Sun Health Plan	$4,206	3938%
Mmm Of Fl (Health Advantage Plan)	$4,542	4252%
United Ppo	$4,680	4382%
Sunshine State Health Plan	$5,213	4881%
Plotkin Health	$9,874	9244%
Prime Health Sherriff	$9,874	9244%
Medica Healthcare	$11,453	10723%
Multiplan	$14,810 - $16,785	13866%
Evernorth Bh	$15,798	14791%

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 $19,747.
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 University Hospital and Medical Center 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.