CMS Price Transparency Data

CT scan, pelvis

Facility: Marshall Browning Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $939
Cash Discount Price: $1,934
vs. Medicare Baseline: 8.79x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Marshall Browning Hospital is $939. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,934. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.79x the Medicare baseline. Located in 900 North Washington Street, Du Quoin, IL.

Cash / Self-Pay

$1,934

Average discount available for prompt cash payment at this facility.

Insurance Median

$939

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: $1,934 (1811%)

Insurance Median: $939 (879%)

Cash: $1,934 (1811% of Medicare)

Ins. Median: $939 (879% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 879% of the Medicare baseline (a markup of 779%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$243 - $2,188	228%
Blue Cross Blue Shield	$243 - $2,525	228%
Meridian Hp Mcaid - All Plans	$243	228%
Molina Mcaid - All Plans	$243	228%
Health Alliance Mcr Adv	$939	879%
Humana	$939	879%
UnitedHealthcare	$939 - $2,404	879%
Wellcare Mcr Adv - All Plans	$939	879%
Healthlink Hmo - All Other Plans	$1,934	1811%
Healthlink Ppo	$1,934	1811%
Cigna	$2,056	1925%
Health Alliance - All Other Plans	$2,349	2199%
Multiplan/Phcs - All Plans	$2,487	2328%
Zelis - All Plans	$2,487	2328%
Hope Trust - All Plans	$3,288	3078%

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 $1,934.
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 Marshall Browning Hospital 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.