CMS Price Transparency Data

CT scan, pelvis

Facility: Wesley Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $2,615
  • Cash Discount Price: $15,115
  • vs. Medicare Baseline: 24.48x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Wesley Medical Center is $2,615. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,115. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 24.48x the Medicare baseline. Located in 550 N Hillside Street, Wichita, KS.
Cash / Self-Pay
$15,115

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,615

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $15,115 (14151%)
Insurance Median: $2,615 (2448%)
Cash: $15,115 (14151% of Medicare)
Ins. Median: $2,615 (2448% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 550 N Hillside Street, Wichita, KS 67214
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals