CMS Price Transparency Data

CT scan, pelvis

Facility: Memorial Hospital and Health Care Center

Billing Code: 72192 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$119
about 1.1× the $107 Medicare rate · typically $101–$122
modeled estimate · not a bill or quote
What this hospital charges insurers
$123
About the fair price
about $4 over the fair price · 1.1× Medicare
Medicare pays $107 Fair price $119 This hospital $123 Cash price $70 Hospital's list price $200

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

Highest price of the 9 IN hospitals we have prices for — worth calling around.

Cheapest $51 Priciest $123

Black dot = this hospital, among the 9 IN hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, pelvis is about $119 (about 1.1× the $107 Medicare rate). Memorial Hospital and Health Care Center charges insurers about $123, or about $70 in cash — about the fair price. Located in Jasper, IN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $53 - $368 50%
Blue Cross Blue Shieldmajor $40 - $238 37%
Aetnamajor $48 - $438 45%
Cignamajor $168 - $438 157%
Humanamajor $48 - $123 45%
Ambetter (Centene) $62 - $160 58%
CareSource $48 - $153 45%
+ 11 smaller / regional plans $48 - $438
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 800 W 9Th St, Jasper, IN 47546
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals