CT scan, pelvis
Facility: Menorah Medical Center
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $486
- Cash Discount Price: $9,474
- vs. Medicare Baseline: 4.55x 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 455% of the Medicare baseline (a markup of 355%). 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 |
|---|---|---|
| Amerigroup | $60 | 56% |
| United | $60 - $4,263 | 56% |
| Healthyblue | $61 | 57% |
| Aetna | $62 - $4,832 | 58% |
| Medicaid / KanCare | $62 | 58% |
| Unicare | $62 | 58% |
| Home State Health Plan | $95 | 89% |
| Multiplan | $119 - $7,011 | 111% |
| Cigna | $122 - $7,579 | 114% |
| Corvel Corporation | $142 - $6,158 | 133% |
| Oha Network | $148 - $4,737 | 139% |
| Blue Cross Blue Shield | $303 - $4,263 | 284% |
| Humana | $343 - $442 | 321% |
| Ambetter / Centene | $1,762 | 1650% |
| Nhc Advantage | $1,800 | 1685% |
| Wppa Providrs Care Network | $1,895 | 1774% |
| Universal Healthcare | $3,316 | 3105% |
| Coventry | $3,809 | 3566% |
| Coventry Kc Mo | $3,884 | 3636% |
| College Park Family Care Center | $4,074 | 3814% |
| Triwest Health Alliance | $7,106 | 6653% |
| Focus Healthcare Mgmt, Inc | $7,106 | 6653% |
| Cco, Inc. | $7,106 | 6653% |
Consumer Guidance & Cost Commentary
For a CT scan of the pelvis at Menorah Medical Center in Overland Park, Kansas, the cash price is $9,474, which matches the facility's median paid amount. This cash rate is significantly higher than the state average, reflecting the high cost of specialized imaging in this region. While commercial insurance plans like United and Healthyblue offer negotiated rates ranging from $60 to $4,832, these figures often exceed the cash price for patients with high-deductible plans. Because insurance billing involves complex administrative layers that can inflate costs by 20% to 40%, paying cash upfront may result in a lower total out-of-pocket expense if your deductible has not yet been met.
Patients should verify their specific plan's allowed amount before scheduling, as in-network rates vary widely among the 23 payers listed, with some plans negotiating up to $7,579 while others pay as little as $60. It is crucial to ask the hospital about "self-pay" or "prompt-pay" discounts before check-in, as these programs can reduce bills by 20% to 50% by bypassing costly claims processing. Additionally, under the No Surprises Act, you are protected from balance billing for emergency services at in-network facilities, but you should always request a detailed, itemized bill to ensure no unbundled codes or services not rendered are included in the final charge.