CMS Price Transparency Data
CT scan, pelvis
Facility: St Marys Good Samaritan Hospital
Billing Code: 72192 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$377
about 3.5× the $107 Medicare rate · typically $122–$904
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $377 Cash price $1,300 Hospital's list price $2,000
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 | $540 - $2,632 | 506% |
| Blue Cross Blue Shieldmajor | $387 - $1,445 | 362% |
| Aetnamajor | $540 - $1,600 | 506% |
| Cignamajor | $540 - $1,640 | 506% |
| Humanamajor | $540 - $1,500 | 506% |
| Kaiser Permanentemajor | $540 | 506% |
| Ambetter (Centene) | $540 | 506% |
| Amerigroup | $2,000 | 1872% |
| CareSource | $540 | 506% |
| Molina | $540 | 506% |
| WellCare | $257 - $540 | 241% |
| + 5 smaller / regional plans | $540 - $1,800 |
Government programs also on file: Medicaid, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at St Marys Good Samaritan Hospital
Compare: CT scan, pelvis at other GA hospitals
- Emanuel Medical Center · Swainsboro $70
- Liberty Regional Medical Center · Hinesville $76
- Southeast Georgia Health System -- Camden Campus · Saint Marys $81
- Southeast Georgia Health System- Brunswick Campus · Brunswick $86
- Sgmc Health Lanier · Lakeland $93
- Northeast Georgia Medical Center Habersham · Demorest $96
- Emory Houston Hospital Warner Robins · Warner Robins $98
- Sgmc Health · Valdosta $100
Insurance negotiated median for the same procedure, sorted lowest first.