CMS Price Transparency Data

CT scan, pelvis

Facility: Gundersen Palmer Lutheran Hospital and Clinics

Billing Code: 72192 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$283
about 2.6× the $107 Medicare rate · typically $118–$1,190
modeled estimate · not a bill or quote
What this hospital charges insurers
$257
About the fair price
about $26 under the fair price · 2.4× Medicare
Medicare pays $107 Fair price $283 This hospital $257

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $48 Priciest $257

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

A fair price for a CT scan, pelvis is about $283 (about 2.6× the $107 Medicare rate). Gundersen Palmer Lutheran Hospital and Clinics charges insurers about $257 — about the fair price. Located in West Union, IA.

What each insurance company pays

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

1 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor $245 - $269 229%
Amerigroup $46 43%
Molina $46 43%
+ 1 smaller / regional plan $1,678 - $1,850

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Facility Profile & Credentials

  • Address: 112 Jefferson Street, West Union, IA 52175
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals