CMS Price Transparency Data

CT scan, pelvis

Facility: Deaconess Illinois Crossroads

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $170
  • Cash Discount Price: $1,000
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Deaconess Illinois Crossroads is $170. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,000. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.59x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$1,000

Average discount available for prompt cash payment at this facility.

Insurance Median
$170

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: $1,000 (936%)
Insurance Median: $170 (159%)
Cash: $1,000 (936% of Medicare)
Ins. Median: $170 (159% 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.

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
Aetna $44 - $3,591 41%
Blue Cross Blue Shield $44 - $2,159 41%
Meridian Health Plan $44 - $111 41%
Molina Healthcare Of Illinois $44 - $112 41%
Wellcare $44 - $111 41%
Humana $48 - $3,546 45%
Mytru Advantage $48 - $111 45%
Umwa $48 - $111 45%
UnitedHealthcare $48 - $2,637 45%
Deaconess Onecare $62 - $2,409 58%
Alliance Coal $66 - $183 62%
Self-Pay $70 - $1,000 66%
Alter-Net Medical Services, Inc. $77 - $1,591 72%
Noncontracted $77 - $177 72%
Cigna $78 - $1,768 73%
Care Improvement Plus $113 106%
Prime Health Services $150 - $3,409 140%
Guardian Resources, Inc. $168 - $3,819 157%
Healthcare'S Finest Network (Hfn) $170 - $3,864 159%
Medicalcontrol Network Solutions $170 - $3,864 159%
National Provider Network $170 - $3,864 159%
Three Rivers Provider Network $174 - $3,955 163%
Beech Street $176 - $4,000 165%
Hope Trust $316 - $1,591 296%
Encore Combined $602 - $2,773 564%
Encore Prime/Elite/Elite + $602 - $2,496 564%
Wexford Health Sources $2,046 - $3,182 1916%
Great West Healthcare Of Illinois $3,409 3192%
Multiplan - Primary Network - Phcs $3,568 3341%
Healthlink $3,637 - $3,864 3405%
Coventry Healthcare $3,828 3584%
First Health $3,828 3584%
Multiplan - Complementary Network $3,882 3634%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals