CMS Price Transparency Data

CT scan, pelvis

Facility: St Mary's Hospital

Billing Code: 72192 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$104
about 1.0× the $107 Medicare rate · typically $84–$538
modeled estimate · not a bill or quote
What this hospital charges insurers
$94
About the fair price
about $10 under the fair price · 0.9× Medicare
Medicare pays $107 Fair price $104 This hospital $94 Cash price $480 Hospital's list price $641

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

One of the lower prices — 6 of 8 other ID hospitals charge more for the same procedure.

Cheapest $45 Priciest $108

Black dot = this hospital, among the 9 ID 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 $104 (about 1.0× the $107 Medicare rate). St Mary's Hospital charges insurers about $94, or about $480 in cash — about the fair price. Located in Cottonwood, ID.

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 $48 - $935 45%
Blue Cross Blue Shieldmajor $48 - $1,140 45%
Aetnamajor $76 - $1,060 71%
GEHA $137 - $1,106 128%
+ 4 smaller / regional plans $48 - $1,117
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 701 Lewiston St, Cottonwood, ID 83522
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals