CT scan, pelvis

For the CT scan of the pelvis (CPT 72192) at Mercy Hospital Pittsburg, Inc., the facility's cash median price is $1,676.00, which is significantly higher than the state average of $104.00 for this service. While commercial insurance plans like Aetna and UnitedHealthcare have negotiated rates ranging up to $2,191, these amounts often exceed the cash price, making self-pay a potentially more economical option for patients with high-deductible plans. To maximize savings, patients should verify if the hospital offers "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% when paid upfront, bypassing the administrative costs associated with insurance claims processing.

The facility's pricing is benchmarked against Medicare, with a standard rate of $106.81, indicating that commercial negotiated rates can be substantially higher than the federal baseline. However, because the facility is a voluntary non-profit church-owned hospital, patients should request an itemized billing audit to ensure no errors, such as unbundled codes or services not rendered, are included in the final charge. It is critical to avoid balance billing by confirming that all services are covered under the No Surprises Act protections, especially if receiving care from out-of-network providers at this in-network facility, and to always compare the final allowed amount against the Medicare rate rather than the inflated hospital chargemaster list.