CT scan, pelvis
Facility: Labette Health
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $98
- Cash Discount Price: $1,610
- vs. Medicare Baseline: 0.92x 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 |
|---|---|---|
| Medicaid / KanCare | $61 - $98 | 57% |
| Healthy Blue | $61 - $93 | 57% |
| UnitedHealthcare | $98 - $2,001 | 92% |
| Humana | $98 | 92% |
| Wellcare | $98 | 92% |
| Blue Cross Blue Shield | $98 - $480 | 92% |
| Kansas Superior Select | $101 | 95% |
| Ambetter / Centene | $113 | 106% |
| Uhccp | $123 - $245 | 115% |
| Montgomery County | $180 | 169% |
| Multiplan | $1,955 | 1830% |
| Health Partners Of Kansas, Inc | $2,070 | 1938% |
| Choicecare (First Health Network) | $2,070 | 1938% |
Consumer Guidance & Cost Commentary
For the CPT code 72192 (CT scan, pelvis) at Labette Health in Parsons, KS, the facility's cash median price is $1,610.00, which is lower than the gross chargemaster rate of $2,300.00. While the facility is a government-owned acute care hospital, patients with high-deductible plans or those without insurance may find the cash price more affordable than the negotiated rates charged by in-network insurers. For instance, UnitedHealthcare and Blue Cross Blue Shield have negotiated rates ranging from $98 to $480, which appear lower than the cash price, but these figures likely reflect the insurer's allowed amount rather than the total cost to the patient, especially if the patient has not yet met their deductible. It is important to note that commercial negotiated rates often include administrative overhead and can sometimes exceed cash prices depending on the specific contract terms and the patient's out-of-pocket obligations.
When evaluating costs, it is crucial to understand that Medicare serves as a reliable benchmark for fair pricing, with this service's Medicare amount set at $106.81. Commercial rates are frequently marked up significantly above this baseline; for example, the gross chargemaster is over 21 times the Medicare rate. Patients should be aware of balance billing risks, particularly if receiving care from out-of-network providers or ancillary services, where the provider could bill the difference between the chargemaster and the insurance allowed amount. To avoid unexpected costs, consumers should request a full itemized bill to verify all charges and ask specifically about "self-pay" or "prompt-pay" discounts, which can reduce the final balance by 20