CMS Price Transparency Data

CT scan, pelvis

Facility: Via Christi Hospital Wichita St Teresa, Inc

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $99
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Via Christi Hospital Wichita St Teresa, Inc is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.93x the Medicare baseline. Located in 14800 West Teresa St, Wichita, KS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$99

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Insurance Median: $99 (93%)
Ins. Median: $99 (93% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14800 West Teresa St, Wichita, KS 67235
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals