CT scan, pelvis
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $98
- Cash Discount Price: $1,058
- 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 |
|---|---|---|
| UnitedHealthcare | $42 - $275 | 39% |
| Medicaid / KanCare | $44 - $139 | 41% |
| Aetna | $44 - $94 | 41% |
| Providrs Care | $69 - $183 | 65% |
| Va | $98 | 92% |
| Humana | $98 - $99 | 92% |
| Medicare (plans) | $98 - $100 | 92% |
| Smarthealth | $138 | 129% |
| Ambetter / Centene | $167 | 156% |
| Tricare | $174 | 163% |
| Blue Cross Blue Shield | $520 - $548 | 487% |
Consumer Guidance & Cost Commentary
For this CT scan of the pelvis at Ascension Via Christi Hospital in Manhattan, KS, the facility's cash price of $1,058 is significantly lower than the negotiated rates charged to most insurance plans, which range from $42 to $548 depending on the carrier. While Medicare sets a baseline payment of $106.81, commercial payers like UnitedHealthcare and Medicaid/KanCare negotiate rates that can exceed $275, often resulting in higher out-of-pocket costs for members who have not met their deductibles. Because the cash price is roughly half of the highest negotiated amounts, patients with high-deductible plans or those without insurance may save money by paying self-pay directly, provided they confirm the facility offers a prompt-pay discount before scheduling.
To avoid unexpected balance billing, patients should request an itemized bill to verify that all services were rendered and that no unbundled codes were charged separately. Although the No Surprises Act protects patients from balance billing for emergency care at in-network facilities, it is essential to check your specific plan details and ask the hospital to classify your visit as self-pay to ensure you receive the lowest possible rate. Given that the facility is a voluntary non-profit, you should contact them directly to confirm if they offer a prompt-pay discount for upfront payment, which can bypass administrative fees and reduce the final amount owed compared to the standard insurance negotiated rates.