CT scan, pelvis
Facility: University Of Kansas Hospital
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $1,933
- Cash Discount Price: $797
- vs. Medicare Baseline: 18.10x 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 1810% of the Medicare baseline (a markup of 1710%). 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 |
|---|---|---|
| Tricare | $98 | 92% |
| Ku Athletics [503200094] | $98 | 92% |
| Humana | $98 - $100 | 92% |
| Lasso Healthcare [503999926] | $98 | 92% |
| Aetna | $98 - $137 | 92% |
| Medicare (plans) | $98 - $100 | 92% |
| Devoted [503200068] | $98 | 92% |
| Workers Comp [503999901] | $98 - $3,786 | 92% |
| UnitedHealthcare | $98 - $156 | 92% |
| Triwest [503201703] | $98 | 92% |
| Allwell [503200078] | $101 | 95% |
| Blue Cross Blue Shield | $101 - $3,058 | 95% |
| American Health Plans [503200968] | $102 | 95% |
| Oscar [503201609] | $117 | 110% |
| Centurion [5032000966] | $127 | 119% |
| Wellfit [503301514] | $161 | 151% |
| Centivo [5032000982] | $161 | 151% |
| Ambetter / Centene | $166 | 155% |
| 6 Degrees Health [503999050] | $171 - $244 | 160% |
| Alt Wppa [5032000964] | $195 - $2,414 | 183% |
| Occunet [503999930] | $205 | 192% |
| Fort Hays State Student Athletes [5032000960] | $205 | 192% |
| Claimdoc [503301509] | $264 | 247% |
| Multiplan [503200057] | $264 | 247% |
| Advanced Medical Pricing Solutions [503301513] | $293 | 274% |
| Larned State Hospital [503200090] | $1,176 | 1101% |
| Health Plan Inc [503999941] | $1,873 | 1754% |
| Alt Carelon Behavioral Health [503200905] | $1,992 | 1865% |
| Accarent Health [503999034] | $1,992 | 1865% |
| Php [503200005] | $2,391 - $2,945 | 2239% |
| Allied National [503999937] | $2,391 | 2239% |
| Geha [503200036] | $2,414 | 2260% |
| Healthlink [503200007] | $2,414 - $2,945 | 2260% |
| Inter-Americas Insurance [503999032] | $2,414 | 2260% |
| Cerner [503200038] | $2,414 | 2260% |
| Med-Pay [503200040] | $2,414 | 2260% |
| Aha-Healthcare Preferred [503200050] | $2,626 | 2459% |
| First Health [5032000110] | $2,626 | 2459% |
| Correct Care Solutions [50311253] | $2,790 | 2612% |
| Consolidated Billing [50311256] | $2,790 | 2612% |
| Coeur Plan Services [503301517] | $2,790 | 2612% |
| Ascension Living Hope [503201517] | $2,790 | 2612% |
| Orscheln Industries [503201608] | $2,989 | 2798% |
| Empire Plan/Nyship [503200705] | $3,058 | 2863% |
| Alt Lucent Health Solutions [503202603] | $3,058 | 2863% |
| Alt Lineco [5032000976] | $3,058 | 2863% |
| Quiktrip [5032000412] | $3,188 | 2985% |
| Point Comfort Underwriters [503200018] | $3,188 | 2985% |
| Century Health Solutions [503200054] | $3,188 | 2985% |
| Cigna | $3,188 | 2985% |
| Wppa [503200056] | $3,347 | 3134% |
| Meritain Health [503200039] | $3,347 | 3134% |
| Sanford Health Plan [503999027] | $3,586 | 3357% |
| Usa Managed Care [503999030] | $3,586 | 3357% |
| Plan Care America [503999026] | $3,586 | 3357% |
| Employers Health Network [503999025] | $3,586 | 3357% |
| Three Rivers Provider Network [503999029] | $3,586 | 3357% |
Consumer Guidance & Cost Commentary
For a CT scan of the pelvis at University Of Kansas Hospital, the cash median price is $797, which is significantly lower than the facility's gross charge of $3,985. This cash rate is also notably lower than the median negotiated rate of $1,933 paid by commercial payers and the Medicare amount of $106.81. While the facility is a Government - Hospital District or Authority with a 5-star rating in Kansas City, KS, patients should be aware that cash-pay options can sometimes be cheaper than insurance negotiated rates, particularly if their plan has a high deductible or if the insurer's allowed amount exceeds the cash price.
The data indicates that while most payers have a low range of $98, some specific plans, such as Workers Comp and certain Blue Cross Blue Shield plans, have high ranges reaching up to $3,586. Because negotiated rates vary widely among the 57 payers, it is crucial to verify the specific allowed amount for your insurance before scheduling, as assuming in-network status guarantees the best price is a common pitfall. Additionally, patients are encouraged to ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by bypassing administrative fees associated with insurance claims processing.