CT scan, pelvis
Facility: Kansas Surgery & Recovery Center
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $207
- Cash Discount Price: $782
- vs. Medicare Baseline: 1.94x 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 |
|---|---|---|
| Blue Cross Blue Shield | $96 - $458 | 90% |
| Aetna | $96 - $466 | 90% |
| UnitedHealthcare | $98 - $534 | 92% |
| Cigna | $251 | 235% |
Consumer Guidance & Cost Commentary
For a CT scan of the pelvis at Kansas Surgery & Recovery Center in Wichita, KS, the cash median price is $782.00, which is significantly lower than the facility's gross charge of $786.00. While the facility is an in-network provider for four major payers, the negotiated rates range from $96 to $534 depending on the specific insurance plan, meaning some patients could pay less than the cash price if their deductible has been met. However, for those with high-deductible plans or those without insurance, the cash price may be the most affordable option, as it avoids the administrative overhead and markup inherent in insurance billing cycles. Patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can further lower the final cost by bypassing the standard claims processing fees.
The facility's pricing is notably higher than the Medicare benchmark, with the commercial rate representing a 1.9x markup compared to the federal government's fixed reimbursement rate of $106.81. This significant difference highlights how commercial rates often include additional layers of administrative cost and risk that are not reflected in Medicare calculations. While the facility's negotiated rates for major insurers fall between $96 and $534, these amounts still exceed the Medicare baseline, illustrating the typical variance between federal cost-based pricing and commercial market rates. To ensure you are receiving fair value, it is advisable to request an itemized bill that breaks down every CPT code and service rendered, allowing you to verify that no unbundled charges or services not received have inflated the total.