CT scan, pelvis
Facility: Rawlins County Health Center
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $1,148
- Cash Discount Price: $1,122
- vs. Medicare Baseline: 10.75x 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 1075% of the Medicare baseline (a markup of 975%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $458 | 429% |
| UnitedHealthcare | $1,148 | 1075% |
Consumer Guidance & Cost Commentary
For a CT scan of the pelvis at Rawlins County Health Center in Atwood, Kansas, the cash price is $1,122.00, which is lower than the facility's negotiated rate of $1,148.00. This cash price is also lower than the state average for this procedure. While your insurance plans with Blue Cross Blue Shield and UnitedHealthcare have negotiated rates of $458 and $1,148 respectively, patients with high-deductible plans may find paying the cash price directly more affordable if their out-of-pocket costs exceed the cash rate. It is important to verify your specific deductible status before scheduling, as paying the cash price upfront can sometimes result in immediate savings compared to waiting for insurance reimbursement.
If you choose to use insurance, be aware that the facility is a Critical Access Hospital, and while the No Surprises Act protects you from balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, unexpected charges can still occur with ancillary services. If you receive a bill that seems higher than expected, request a full itemized CPT-coded statement to review every charge for errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain mistakes. Additionally, ask the billing department about prompt-pay discounts, which can reduce the total amount owed if you settle the bill in full within 30 days, effectively bypassing the administrative costs associated with insurance claims processing.