CMS Price Transparency Data

CT scan, pelvis

Facility: Community First Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $134
Cash Discount Price: $1,316
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Community First Medical Center is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,316. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 5645 W Addison Street, Chicago, IL.

Cash / Self-Pay

$1,316

Average discount available for prompt cash payment at this facility.

Insurance Median

$134

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: $1,316 (1232%)

Insurance Median: $134 (125%)

Cash: $1,316 (1232% of Medicare)

Ins. Median: $134 (125% 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.

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
Beacon Mcr Op Only - All Other Plans	$112	105%
Blue Cross Blue Shield	$112 - $898	105%
Harmony Mcr Adv - All Other Plans	$112	105%
Humana	$112 - $978	105%
Meridian Mcr Adv - All Other Plans	$112	105%
Molina Marketplace - All Other Plans	$112	105%
Molina Mcr Adv	$112	105%
Zing Hlth Mcr Adv - All Plans	$112	105%
Aetna	$134 - $2,632	125%
Beacon Mcaid Op Only	$134	125%
Cchhs Mcaid	$134	125%
County Care Mcaid - All Plans	$134	125%
Harmony Mcaid	$134	125%
Meridian Mcaid	$134	125%
Molina Mcaid	$134	125%
UnitedHealthcare	$180	169%
Cigna	$761 - $834	712%

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 $1,316.
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 Community First Medical Center 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.