CMS Price Transparency Data

CT scan, pelvis

Facility: Athur M Blank Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $2,151
Cash Discount Price: $3,138
vs. Medicare Baseline: 20.14x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Athur M Blank Hospital is $2,151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,138. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 20.14x the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.

Cash / Self-Pay

$3,138

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,151

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: $3,138 (2938%)

Insurance Median: $2,151 (2014%)

Cash: $3,138 (2938% of Medicare)

Ins. Median: $2,151 (2014% 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 2014% of the Medicare baseline (a markup of 1914%). 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
Peachstate [43]	$1,341	1256%
Caresource [61]	$1,379	1291%
Amerigroup [102]	$1,444	1352%
Cigna	$2,074	1942%
Blue Cross Blue Shield	$2,082 - $3,063	1949%
United [5]	$2,082	1949%
Ambetter / Centene	$2,101	1967%
Oscar [228]	$2,102	1968%
Aetna	$2,112	1977%
Caresource Marketplace Bronze/Silver/Gold [60]	$2,132	1996%
Kaiser [6]	$2,137	2001%
Sidecar Health [236]	$2,165	2027%
Direct Employer Agreements [72]	$2,197 - $2,667	2057%
Coventry [9]	$2,202	2062%
Northeast Georgia Heatlh System [808]	$2,354	2204%
Veracity Benefits [809]	$2,354	2204%
First Health [74]	$2,355	2205%
Phcs [93]	$2,667	2497%
Secure Health [340]	$2,667	2497%
Beech Street [71]	$2,824	2644%
Multiplan [92]	$3,075	2879%
Novanet [41]	$3,138	2938%

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 $3,138.
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 Athur M Blank Hospital 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.