CMS Price Transparency Data

CT scan, pelvis

Facility: Pulaski Memorial Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $123
Cash Discount Price: $1,152
vs. Medicare Baseline: 1.15x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Pulaski Memorial Hospital is $123. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,152. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.15x the Medicare baseline. Located in 616 E 13Th St, Winamac, IN.

Cash / Self-Pay

$1,152

Average discount available for prompt cash payment at this facility.

Insurance Median

$123

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: $1,152 (1079%)

Insurance Median: $123 (115%)

Cash: $1,152 (1079% of Medicare)

Ins. Median: $123 (115% 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
UnitedHealthcare	$46 - $2,480	43%
Ambetter / Centene	$48 - $973	45%
Blue Cross Blue Shield	$48 - $2,020	45%
Caresource Mcaid Hip	$48 - $973	45%
Caresource Mcare Hmo	$48 - $973	45%
Cenpatico Mcaid Hip	$48 - $973	45%
Humana	$48 - $2,524	45%
Mdwise Mcaid Hcc	$48 - $67	45%
Mdwise Mcaid Hhw	$48 - $67	45%
Mdwise Mcaid Hip - All Other Plans	$48 - $973	45%
Mhs Mcaid Hip	$48 - $973	45%
Mhs Mcare Allwell	$48 - $983	45%
Multiplan - All Plans	$48 - $2,826	45%
Caresource Exch Hmo Hix - All Other Plans	$60 - $1,217	56%
Caresource Mcaid Hhw	$67 - $123	63%
Cenpatico Mcaid Hhw - All Other Plans	$67 - $123	63%
Mhs Mcaid Hhw/Hcc	$67 - $123	63%
Encore Ppo - All Other Plans	$73 - $2,669	68%
Cigna	$83 - $2,983	78%
Sagamore - All Other Plans	$83 - $2,374	78%
Sagamore Rose Acre	$83 - $2,339	78%
Community Health Alliance - All Plans	$95 - $2,794	89%
Encore Workers Comp	$135 - $2,826	126%
Aetna	$1,130	1058%

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 $1,152.
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 Pulaski Memorial 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.