CMS Price Transparency Data

CT scan, pelvis

Facility: The Women's Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $98
  • Cash Discount Price: $1,690
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at The Women's Hospital is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,690. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.92x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$1,690

Average discount available for prompt cash payment at this facility.

Insurance Median
$98

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: $1,690 (1582%)
Insurance Median: $98 (92%)
Cash: $1,690 (1582% of Medicare)
Ins. Median: $98 (92% 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
Amish $39 - $261 37%
Aetna $44 - $1,907 41%
Blue Cross Blue Shield $44 - $359 41%
Meridian Health Il $44 - $98 41%
Molina Il $44 - $98 41%
Humana $47 - $659 44%
Passport Molina Ky $47 - $659 44%
UnitedHealthcare $47 - $2,291 44%
Wellcare Ky $47 - $659 44%
Caresource $48 - $98 45%
Caresource Hip $48 - $77 45%
Caresource In $48 - $77 45%
Chamber Care $48 - $2,005 45%
Iu Health $48 - $1,432 45%
Mdwise Hip $48 - $77 45%
Mhs $48 - $98 45%
Mhs Behavioral $48 - $77 45%
Molina Ky $48 - $98 45%
Molina Ky Dual $48 - $98 45%
Patoka Valley Health Care (80/20 Plan) $48 - $1,775 45%
Patoka Valley Health Care (90/10 Plan) $48 - $1,718 45%
Ambetter / Centene $55 - $152 51%
Immergrun $58 - $1,197 54%
Caresource Marketplace (Just4Me) $62 - $147 58%
One Care $62 - $2,005 58%
Hst $64 - $147 60%
Alliance Coal $66 - $1,985 62%
Allied National/Zelis - Freedom Plan $67 - $240 63%
Claimdoc $69 - $142 65%
Self Pay $70 - $1,690 66%
Encorecombined $76 - $2,005 71%
Encoreprime $76 - $1,947 71%
Hope Trust $76 - $162 71%
Noncontracted $76 - $157 71%
Center Care $120 - $2,234 112%
Cigna $168 - $1,341 157%
Claritev (Formerly Phcs/Mulitplan) $168 - $1,976 157%
First Health/Coventry $168 - $2,119 157%
Healthlink $168 - $2,434 157%
Sagamore $168 - $1,341 157%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals