CMS Price Transparency Data

CT scan, pelvis

Facility: Westside Regional Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $1,552
Cash Discount Price: $5,925
vs. Medicare Baseline: 14.53x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Westside Regional Medical Center is $1,552. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,925. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 14.53x the Medicare baseline. Located in 8201 W Broward Blvd, Plantation, FL.

Cash / Self-Pay

$5,925

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,552

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: $5,925 (5547%)

Insurance Median: $1,552 (1453%)

Cash: $5,925 (5547% of Medicare)

Ins. Median: $1,552 (1453% 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 1453% of the Medicare baseline (a markup of 1353%). 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 - $2,666	229%
Freedom Health	$510 - $948	477%
Optimum	$510	477%
Aetna	$769 - $1,778	720%
Simply Healthcare Plans	$770	721%
Molina	$1,007 - $1,600	943%
Health Sun Health Plan	$1,262	1182%
Aids Healthcare	$1,304 - $7,110	1221%
Mmm Of Fl (Health Advantage Plan)	$1,363	1276%
United Ppo	$1,404	1314%
Avmed	$1,540 - $2,962	1442%
Sunshine State Health Plan	$1,564	1464%
Corvel Corporation	$2,652	2483%
Careworks (Rockport)	$2,707	2534%
Prime Health	$2,707	2534%
Plotkin Health	$2,962	2773%
Prime Health Sherriff	$2,962	2773%
Medica Healthcare	$3,496	3273%
Multiplan	$4,444 - $5,036	4161%

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 $5,925.
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 Westside Regional 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.