CT scan, pelvis
Facility: Via Christi Hospital Wichita St Teresa, Inc
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $99
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.93x 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 |
|---|---|---|
| Vc Hope | $98 | 92% |
| Humana | $98 | 92% |
| Via Christi Research | $98 | 92% |
| Saint Lukes Health Systems | $98 | 92% |
| Va | $98 | 92% |
| Medicare (plans) | $98 - $100 | 92% |
| Blue Cross Blue Shield | $100 | 94% |
| UnitedHealthcare | $100 - $275 | 94% |
| Corizon | $123 | 115% |
| Smarthealth | $138 | 129% |
| Medicaid / KanCare | $167 | 156% |
| Aetna | $320 - $351 | 300% |
Consumer Guidance & Cost Commentary
For the CPT code 72192 (CT scan, pelvis) at Via Christi Hospital Wichita St Teresa, Inc, the negotiated rates across 12 payers range from $98 to $351, with a median negotiated amount of $99.00. This facility is a voluntary non-profit church-owned acute care hospital located in Wichita, Kansas (ZIP 67235). While specific cash and median paid values are not reported in this dataset, patients should be aware that cash-pay options can sometimes result in lower out-of-pocket costs than insurance negotiated rates, particularly for those with high-deductible plans where the insurer's allowed amount exceeds the facility's cash price. It is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can significantly reduce the final bill by bypassing administrative fees and insurance claim processing costs.
The facility's pricing is benchmarked against Medicare, which sets a fixed reimbursement rate of $106.81 for this procedure. Commercial negotiated rates often exceed this baseline due to administrative structures and contract dynamics, though fair pricing is typically defined as 120% to 150% of the Medicare rate. If a patient receives a bill that appears to include balance billing—where the provider charges the difference between the full chargemaster and the insurance allowed amount—they should verify if the service was out-of-network. Under the No Surprises Act, balance billing for emergency care and non-emergency services at in-network facilities is generally prohibited, and patients should dispute any unexpected charges in writing rather than accepting summary bills or verbal settlements.