CT scan, pelvis
Facility: Wichita County Health Center
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $1,144
- Cash Discount Price: $1,003
- vs. Medicare Baseline: 10.71x 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 1071% of the Medicare baseline (a markup of 971%). 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 |
|---|---|---|
| Medicaid / KanCare | $1,035 | 969% |
| UnitedHealthcare | $1,254 | 1174% |
Consumer Guidance & Cost Commentary
For a CT scan of the pelvis at Wichita County Health Center in Leoti, Kansas, the cash price is $1,003. This facility, a government-owned Critical Access Hospital, lists a negotiated rate of $1,254 for UnitedHealthcare, which is notably higher than the cash option. While the facility does not have a publicly listed rating, the data indicates that Medicaid/KanCare members face the same $1,035 rate as the cash price, suggesting no variation for that payer.
When comparing these figures to broader benchmarks, the cash rate of $1,003 stands in contrast to the Medicare benchmark of $106.81, highlighting the typical markup structure in healthcare billing. The facility's negotiated rate of $1,254 exceeds the Medicare amount by 10.7%, illustrating how commercial contracts can significantly increase costs compared to federal standards. Patients should be aware that paying cash upfront may result in lower out-of-pocket expenses than using insurance, as the negotiated rate here is higher than the cash price. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available before scheduling, as these incentives can further reduce the final bill.