CMS Price Transparency Data

CT scan, pelvis

Facility: Madison County Health Care System

Billing Code: 72192 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$632

about 5.9× the $107 Medicare rate · typically $165–$976

modeled estimate · not a bill or quote

What this hospital charges insurers

$505

Below the fair price — a good deal

about $127 under the fair price · 4.7× Medicare

Medicare pays $107 Fair price $632 This hospital $505 Cash price $1,526 Hospital's list price $1,908

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 $505

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, pelvis is about $632 (about 5.9× the $107 Medicare rate). Madison County Health Care System charges insurers about $505, or about $1,526 in cash — below the fair price — a good deal. Located in Winterset, IA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$820 - $1,717	768%
Blue Cross Blue Shieldmajor	$480 - $529	449%
Aetnamajor	$820 - $1,240	768%
Amerigroup	$951	890%
Molina	$928	869%
Oscar Health	$1,231	1153%
+ 14 smaller / regional plans	$820 - $1,908

Government programs also on file: Military & VA.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,526), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72192.

Insurance Before you use insurance

Call your insurance company to confirm Madison County Health Care System is in-network.
Ask your insurer whether prior approval is required for CPT code 72192.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Madison County Health Care System

Compare: CT scan, pelvis at other IA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.