CT scan, pelvis
Facility: Mcpherson Hospital
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $110
- Cash Discount Price: $905
- vs. Medicare Baseline: 1.03x 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.
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 |
|---|---|---|
| UnitedHealthcare | $40 - $2,078 | 37% |
| Tricare | $42 - $85 | 39% |
| Wellcare Mcr Adv - All Plans | $48 - $96 | 45% |
| Humana | $48 - $96 | 45% |
| Va Ccn - All Plans | $48 - $96 | 45% |
| Blue Cross Blue Shield | $48 - $96 | 45% |
| Aetna | $48 - $2,078 | 45% |
| Healthy Blue Mcr Adv | $48 - $96 | 45% |
| Ambetter / Centene | $48 - $111 | 45% |
| Multiplan - All Plans | $59 - $1,870 | 55% |
| Medicaid / KanCare | $110 - $2,078 | 103% |
| Health Blue Mcaid - All Other Plans | $112 - $2,120 | 105% |
| Central Plains - All Plans | $276 - $1,558 | 258% |
| Medical Associates - All Plans | $276 - $1,558 | 258% |
| Cigna | $350 - $1,974 | 328% |
| Health Partners - All Plans | $350 - $1,974 | 328% |
| Wppa - All Plans | $1,455 | 1362% |
| Christian Health Aid - All Plans | $1,662 | 1556% |
| First Health - All Plans | $1,974 | 1848% |
Consumer Guidance & Cost Commentary
For the CT scan of the pelvis at McPherson Hospital in McPherson, Kansas, the facility's cash price is $905.00, which is lower than the median negotiated rate of $1,559.00 paid by insurance. While the hospital's gross charge is $1,223.00, patients with high-deductible plans might find paying cash directly more affordable if their insurance negotiated rate exceeds this amount. It is important to note that commercial insurance rates often include administrative overhead and can be significantly higher than the cash price; for instance, some payers like Medicaid/KanCare and Health Blue Medicaid have negotiated rates exceeding $1,100.00, whereas the cash option remains the lowest fixed price available.
To minimize unexpected costs, patients should verify their specific plan's allowed amount before scheduling, as in-network rates vary widely among the 19 payers listed, ranging from $40.00 to over $2,000.00 depending on the carrier. If you choose to pay out-of-pocket, ask the billing department about "self-pay" or "prompt-pay" discounts, which can further reduce the $905.00 cash price. Additionally, if you receive a bill from an out-of-network provider at this facility, you may be protected under the No Surprises Act, which bans balance billing for emergency care and non-emergency services at in-network hospitals. Always request a full, itemized bill to review every charge, as summary bills often hide errors or unbundled codes that could be disputed.