CT scan, pelvis
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $99
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.93x 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 |
|---|---|---|
| Medicare (plans) | $98 - $100 | 92% |
| Va | $98 | 92% |
| Vc Hope | $98 | 92% |
| Saint Lukes Health Systems | $98 | 92% |
| Via Christi Research | $98 | 92% |
| Humana | $98 | 92% |
| UnitedHealthcare | $100 - $275 | 94% |
| Blue Cross Blue Shield | $100 | 94% |
| Corizon | $123 | 115% |
| Smarthealth | $138 | 129% |
| Medicaid / KanCare | $167 | 156% |
| Aetna | $320 - $351 | 300% |
Consumer Guidance & Cost Commentary
For the CPT code 72192 (CT scan, pelvis) at Ascension Via Christi Hospitals Wichita, Inc., the negotiated rates across 12 payers range from $98 to $351, with a median negotiated amount of $99.00. This facility is located in Wichita, KS (ZIP 67214), and while specific cash or median paid values are not available in the current dataset, patients should be aware that cash-pay options can sometimes be more cost-effective than insurance negotiated rates, particularly for those with high-deductible plans where the insurer's allowed amount exceeds the cash price. It is essential to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can significantly reduce out-of-pocket costs by bypassing the administrative overhead associated with insurance billing cycles.
When evaluating this procedure, it is important to compare the facility's pricing against the Medicare benchmark, which serves as the most reliable indicator of true cost. The Medicare amount for this service is $106.81, and the facility's negotiated rates generally align closely with this baseline, with most payers falling between 98% and 100% of the Medicare amount. While some commercial payers like UnitedHealthcare show a wider range (up to 275%), the majority of contracts reflect rates near the federal standard. Patients should avoid using the hospital's full chargemaster list as a benchmark, as these inflated figures do not reflect actual reimbursement realities; instead, focusing on the Medicare rate provides a clear, objective measure of fair pricing for this acute care hospital in Kansas.