CMS Price Transparency Data

CT scan, pelvis

Facility: Shepherd Center, Inc.

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $211
Cash Discount Price: $1,881
vs. Medicare Baseline: 1.98x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Shepherd Center, Inc. is $211. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,881. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.98x the Medicare baseline. Located in 2020 Peachtree Rd Nw, Atlanta, GA.

Cash / Self-Pay

$1,881

Average discount available for prompt cash payment at this facility.

Insurance Median

$211

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: $1,881 (1761%)

Insurance Median: $211 (198%)

Cash: $1,881 (1761% of Medicare)

Ins. Median: $211 (198% 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
Blue Cross Blue Shield	$40 - $265	37%
Medicare (plans)	$52 - $104	49%
Humana	$55 - $102	51%
Kaiser	$60 - $101	56%
Aetna	$78 - $3,198	73%
Coventry	$78 - $2,445	73%
UnitedHealthcare	$112 - $300	105%
Cigna	$230	215%
Paradigm Wc	$1,843	1725%
Secure Health	$2,257	2113%
Coventry Wc	$2,445	2289%
Alamed Wc	$2,633	2465%
Fcci Wc	$2,633	2465%
Multiplan	$2,822	2642%
Evolution Wc	$3,010	2818%
Prime Health Wc	$3,010 - $3,386	2818%
Corvel Wc	$3,198	2994%
Novanet Wc	$3,198	2994%

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 $1,881.
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 Shepherd Center, Inc. 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.