CMS Price Transparency Data

CT scan, pelvis

Facility: Jeff Davis Hospital

Billing Code: 72192 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$372
about 3.5× the $107 Medicare rate · typically $110–$988
modeled estimate · not a bill or quote
What this hospital charges insurers
$193
Below the fair price — a good deal
about $179 under the fair price · 1.8× Medicare
Medicare pays $107 Fair price $372 This hospital $193 Cash price $408 Hospital's list price $1,166

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $70 Priciest $193

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

A fair price for a CT scan, pelvis is about $372 (about 3.5× the $107 Medicare rate). Jeff Davis Hospital charges insurers about $193, or about $408 in cash — below the fair price — a good deal. Located in Hazlehurst, GA.

What each insurance company pays

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

5 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 $875 819%
Blue Cross Blue Shieldmajor $369 - $875 345%
Aetnamajor $816 764%
Cignamajor $933 874%
Humanamajor $232 - $991 217%
HealthPartners $1,050 983%
WellCare $232 217%
+ 8 smaller / regional plans $193 - $991
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 7 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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 163 South Tallahassee Street, Hazlehurst, GA 31539
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals