CT scan, pelvis
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $472
- Cash Discount Price: $303
- vs. Medicare Baseline: 4.42x 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 442% of the Medicare baseline (a markup of 342%). 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 |
|---|---|---|
| UnitedHealthcare | $98 | 92% |
| Workers Comp [503999901] | $98 | 92% |
| Ku Athletics [503200094] | $98 | 92% |
| Medicare (plans) | $100 | 94% |
| Blue Cross Blue Shield | $101 | 95% |
| Allwell [503200078] | $101 | 95% |
| Triwest [503201703] | $103 | 96% |
| Humana | $103 | 96% |
| Tricare | $103 | 96% |
| Centurion [5032000966] | $127 | 119% |
| Ambetter / Centene | $142 | 133% |
| Fort Hays State Student Athletes [5032000960] | $205 | 192% |
| Occunet [503999930] | $205 | 192% |
| 6 Degrees Health [503999050] | $244 | 228% |
| Advanced Medical Pricing Solutions [503301513] | $309 | 289% |
| Wppa [503200056] | $635 | 595% |
| Alt Wppa [5032000964] | $635 | 595% |
| Meritain Health [503200039] | $635 - $908 | 595% |
| Alt Carelon Behavioral Health [503200905] | $756 | 708% |
| Cigna | $908 - $1,210 | 850% |
| Allied National [503999937] | $908 | 850% |
| Aetna | $908 | 850% |
| First Health [5032000110] | $908 | 850% |
| Php [503200005] | $908 | 850% |
| Alt Meritain Health [503999911] | $908 | 850% |
| National Assn Letter Carriers [503200019] | $908 | 850% |
| Aha-Healthcare Preferred [503200050] | $908 | 850% |
| Correct Care Solutions [50311253] | $1,059 | 991% |
| Usa Managed Care [503999030] | $1,362 | 1275% |
Consumer Guidance & Cost Commentary
For the CT scan of the pelvis (CPT code 72192) at the University of KS Health System Great Bend Campus, the facility's cash median price is $303.00, which is significantly lower than the state average of $472.00. While Medicare sets a baseline reimbursement of $106.81, commercial insurance plans negotiate rates that vary widely, ranging from $98 to $1,362 depending on the specific plan. For patients with high-deductible plans, paying the cash price of $303.00 upfront may be more cost-effective than relying on insurance, as some negotiated rates exceed the cash amount. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available before scheduling the procedure.
The facility's pricing structure shows a marked difference between its gross charges and actual payments, with a median paid amount of $105.00 across various payers. This variation highlights the importance of understanding that in-network status does not guarantee the lowest possible rate, as different insurers have distinct contract ceilings. To ensure you are not overcharged, request a full itemized bill that breaks down every CPT code and unit cost, avoiding summary bills that obscure individual charges. If you receive a bill that appears inflated, you can dispute errors such as unbundled services or charges for items not rendered by sending a formal written audit to the billing supervisor.