CMS Price Transparency Data

CT scan, pelvis

Facility: Navicent Health Baldwin

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $144
Cash Discount Price: $634
vs. Medicare Baseline: 1.35x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Navicent Health Baldwin is $144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $634. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.35x the Medicare baseline. Located in 821 North Cobb Street, Milledgeville, GA.

Cash / Self-Pay

$634

Average discount available for prompt cash payment at this facility.

Insurance Median

$144

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: $634 (594%)

Insurance Median: $144 (135%)

Cash: $634 (594% of Medicare)

Ins. Median: $144 (135% 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.

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
Aetna	$48 - $1,052	45%
Blue Cross Blue Shield	$48 - $951	45%
Georgia Health Advantage	$48 - $120	45%
Humana	$48 - $1,078	45%
UnitedHealthcare	$48 - $2,193	45%
Care Source	$49 - $123	46%
Clover	$49 - $123	46%
Eon Health	$49 - $123	46%
Pruitt Health	$51 - $126	48%
Alliant	$58 - $812	54%
Ambetter / Centene	$65 - $647	61%
Cigna	$165 - $976	154%
Securehealth	$176 - $564	165%
Multiplan	$824 - $1,014	771%
Novanet	$1,014	949%
Three Rivers Provider Network	$1,078	1009%

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 $634.
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 Navicent Health Baldwin 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.