CT scan, pelvis
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $657
- Cash Discount Price: $481
- vs. Medicare Baseline: 6.15x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 615% of the Medicare baseline (a markup of 515%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $657 | 615% |
| Healthcare Highways [2210] | $657 | 615% |
| Oncology Patient Assistance Programs [2295] | $657 | 615% |
| Aetna | $657 | 615% |
| Lucent Health [6000] | $657 | 615% |
| Web Tpa [2115] | $657 | 615% |
| Black Lung [6055] | $657 | 615% |
| Hooray Health [8000] | $657 | 615% |
| Department Of Corrections [1340] | $801 | 750% |
| National Association Of Letter Carriers [1695] | $926 | 867% |
| Healthpartners [1500] | $926 | 867% |
| Cigna | $926 | 867% |
| American Postal Workers Union [1070] | $926 | 867% |
| Humana | $945 | 885% |
| American Healthcare [1055] | $1,245 | 1166% |
| Multiplan [1680] | $1,245 | 1166% |
| First Health [1375] | $1,245 | 1166% |
| Administrative Concepts [1005] | $1,245 | 1166% |
| Coventry Healthcare [1320] | $1,313 | 1229% |
| Ks Disability Determination [6090] | $1,602 | 1500% |
Consumer Guidance & Cost Commentary
For the CT scan of the pelvis at the University of Kansas Health System - St Francis Campus, the facility's cash median rate of $481.00 is significantly lower than the gross charge of $1,602.00 and the median negotiated rate of $657.00 paid by most insurance plans. While the facility is located in Topeka, KS (ZIP 66606), the data provided does not include specific county or state average comparisons for this procedure. However, the cash price of $481.00 represents a substantial discount compared to the standard insurance negotiated rates, which range from $657.00 to $1,602.00 depending on the payer. Patients with high-deductible plans or those without insurance may find this cash rate advantageous, as it avoids the administrative overhead and markup inherent in insurance billing cycles. It is important to note that while the facility is a voluntary non-profit church-owned acute care hospital, patients should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling to ensure they receive the lowest possible rate.
The pricing for this service is anchored by a Medicare benchmark of $106.81, which serves as a baseline for evaluating the facility's markup. The gross charge of $1,602.00 is approximately 6.2 times the Medicare amount, illustrating the potential for significant cost reduction when paying directly. Commercial insurance plans, such as Blue Cross Blue Shield and Aetna, negotiate rates that average $657.00, which is still nearly four times the Medicare rate but lower than the full chargemaster. To avoid unexpected