CMS Price Transparency Data
CT scan, pelvis
Facility: Story County Hospital
Billing Code: 72192 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$577
about 5.4× the $107 Medicare rate · typically $138–$2,149
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $577 Cash price $1,714 Hospital's list price $2,143
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 | $1,307 - $2,143 | 1224% |
| Blue Cross Blue Shieldmajor | $747 - $2,143 | 699% |
| Aetnamajor | $1,307 - $2,143 | 1224% |
| Humanamajor | $1,307 - $2,143 | 1224% |
| HealthPartners | $1,307 - $2,143 | 1224% |
| Molina | $1,586 - $2,143 | 1485% |
| + 1 smaller / regional plan | $1,586 - $2,143 |
Self-Pay How to get the cash price
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Other Procedures at Story County Hospital
Compare: CT scan, pelvis at other IA hospitals
- Mahaska Health Partnership · Oskaloosa $48
- Veterans Memorial Hospital · Waukon $56
- Winnmed · Decorah $79
- Clarke County Hospital · Osceola $85
- Iowa Specialty Hospital - Belmond · Belmond $98
- Mary Greeley Medical Center · Ames $102
- Mercy Medical Center - Cedar Rapids · Cedar Rapids $102
- Southeast Iowa Regional Medical Center · West Burlington $104
Insurance negotiated median for the same procedure, sorted lowest first.