CT scan, pelvis
Facility: Kansas Heart Hospital
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $1,665
- Cash Discount Price: $1,166
- vs. Medicare Baseline: 15.59x 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 1559% of the Medicare baseline (a markup of 1459%). 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 |
|---|---|---|
| Tricare | $87 | 81% |
| UnitedHealthcare | $96 - $1,850 | 90% |
| Medicaid / KanCare | $96 - $1,850 | 90% |
| Celtic Mcr Adv | $96 | 90% |
| Humana | $96 | 90% |
| Blue Cross Blue Shield | $462 - $1,850 | 433% |
| Wppa - All Plans | $541 | 507% |
| Multiplan - All Plans | $1,665 | 1559% |
| Aetna | $1,804 - $1,850 | 1689% |
| Celtic Mcaid - All Other Plans | $1,850 | 1732% |
| Soonerselect Mcaid - All Plans | $1,850 | 1732% |
Consumer Guidance & Cost Commentary
For a CT scan of the pelvis at Kansas Heart Hospital in Wichita, the cash price is $1,166, which is lower than the facility's negotiated rates for most major payers. While the median negotiated amount across plans is $1,665, patients with high-deductible plans may find paying the cash price upfront more beneficial, as the cash rate is significantly lower than what insurance typically allows. To maximize savings, it is important to ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing administrative claim processing fees.
The facility's pricing is benchmarked against Medicare, which sets a baseline of $106.81 for this procedure, highlighting that commercial rates include substantial markups for administrative costs and network agreements. Although specific county or state average comparisons are not provided in this data, the wide variation in negotiated rates among the 11 payers—ranging from $87 for Tricare to $1,850 for certain Medicaid plans—underscores the importance of verifying your specific plan's allowed amount. Consumers should request an itemized bill to ensure no errors exist and avoid balance billing, which is largely prohibited for emergency services under the No Surprises Act, ensuring you are only responsible for the agreed-upon negotiated or cash price.