CT scan, pelvis
Facility: Overland Park Reg Med Ctr
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $1,626
- Cash Discount Price: $7,697
- vs. Medicare Baseline: 15.22x 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 1522% of the Medicare baseline (a markup of 1422%). 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 |
|---|---|---|
| United | $60 - $3,660 | 56% |
| Amerigroup | $60 | 56% |
| Healthyblue | $61 | 57% |
| Aetna | $62 - $4,147 | 58% |
| Unicare | $62 | 58% |
| Medicaid / KanCare | $62 | 58% |
| Home State Health Plan | $95 | 89% |
| Multiplan | $119 - $6,018 | 111% |
| Cigna | $122 - $181 | 114% |
| Corvel Corporation | $142 - $5,286 | 133% |
| Oha Network | $148 - $4,066 | 139% |
| Blue Cross Blue Shield | $303 - $3,497 | 284% |
| Humana | $343 - $442 | 321% |
| Ambetter / Centene | $1,351 - $1,513 | 1265% |
| Nhc Advantage | $1,380 - $1,545 | 1292% |
| Wppa Providrs Care Network | $1,452 - $1,626 | 1359% |
| Universal Healthcare | $2,541 - $2,846 | 2379% |
| Coventry | $2,919 - $3,269 | 2733% |
| Coventry Kc Mo | $2,977 - $3,334 | 2787% |
| College Park Family Care Center | $3,122 - $3,497 | 2923% |
| Triwest Health Alliance | $5,446 - $6,099 | 5099% |
| Focus Healthcare Mgmt, Inc | $5,446 - $6,099 | 5099% |
| Cco, Inc. | $5,446 - $6,099 | 5099% |
Consumer Guidance & Cost Commentary
For the CT scan of the pelvis (CPT code 72192) at Overland Park Reg Med Ctr, the facility's cash price is $7,697.00, which matches the cash median for this service in the region. When compared to the Medicare benchmark of $106.81, the cash price represents a markup of 15.2%. While commercial insurance plans negotiate lower rates to protect members, these negotiated amounts often exceed the cash price due to administrative overhead and contract structures. For example, United Health plans have a negotiated range of $60 to $3,660, while Multiplan's range spans $119 to $6,018. Patients with high-deductible plans may find the cash price more cost-effective if their insurance negotiated rate is higher than $7,697.00, making it essential to verify the specific allowed amount for your plan before scheduling.
To minimize costs, patients should proactively ask the facility about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% when paid upfront, bypassing the administrative costs associated with insurance claims. Additionally, since over 80% of hospital bills contain errors, it is advisable to request a full itemized billing audit rather than accepting a summary invoice, ensuring no unbundled codes or services not rendered are charged. This facility is located in Overland Park, KS (ZIP 66215), and while the facility is rated 4 stars, the primary focus for consumers should remain on understanding the difference between the gross chargemaster, the negotiated insurance rate, and