CT scan, pelvis
Facility: Wesley Medical Center
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $2,615
- Cash Discount Price: $15,115
- vs. Medicare Baseline: 24.48x 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 2448% of the Medicare baseline (a markup of 2348%). 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 |
|---|---|---|
| UnitedHealthcare | $60 | 56% |
| Medicaid / KanCare | $62 | 58% |
| Aetna | $62 - $5,396 | 58% |
| Amerigroup | $62 | 58% |
| First Health | $142 - $6,968 | 133% |
| Multiplan | $148 - $13,604 | 139% |
| United | $245 - $6,802 | 229% |
| Blue Cross Blue Shield | $478 | 448% |
| Health Partners Of Kansas | $2,615 - $7,558 | 2448% |
| Wppa | $2,630 | 2462% |
| Ambetter / Centene | $2,721 | 2548% |
| Preferred Health Choices | $2,857 | 2675% |
| Medical Associates Health Plan | $2,857 | 2675% |
| Spirit Aerosystems | $4,837 | 4529% |
| Triwest Healthcare Alliance | $9,825 | 9199% |
| Usa Managed Care | $12,848 | 12029% |
Consumer Guidance & Cost Commentary
The cash median rate for this CT scan, pelvis procedure at Wesley Medical Center in Wichita, KS is $15,115. This facility, a proprietary acute care hospital, lists its gross charge at the same $15,115 level, which aligns with the state of Kansas average. While the facility offers a negotiated rate of $2,615 for Medicaid / KanCare members, this specific CPT code (72192) does not appear in the commercial payer data provided for other major insurers, meaning patients with private insurance may face different out-of-network or self-pay scenarios depending on their specific plan.
For patients with high-deductible plans, the cash price of $15,115 could potentially be lower than their insurance negotiated rate, which varies significantly by carrier. For instance, First Health members face a high-end rate of $6,968, while Multiplan members face a high-end rate of $13,604. It is important to note that the Medicare amount for this service is $106.81, which serves as a benchmark for cost; commercial rates are substantially higher than this federal baseline. Patients should always verify if the facility offers a prompt-pay discount for upfront cash payment, as these discounts can reduce the total cost and bypass administrative fees associated with insurance claims.