CT scan, pelvis
Facility: Jewell County Hospital
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $1,140
- Cash Discount Price: $900
- vs. Medicare Baseline: 10.67x 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 1067% of the Medicare baseline (a markup of 967%). 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 |
|---|---|---|
| Rural Carriers - All Plans | $1,020 | 955% |
| Meritain - All Plans | $1,080 | 1011% |
| Aetna | $1,080 | 1011% |
| Midlands Choice - All Plans | $1,140 | 1067% |
| UnitedHealthcare | $1,140 | 1067% |
| Cigna | $1,140 | 1067% |
| First Health - All Plans | $1,140 | 1067% |
Consumer Guidance & Cost Commentary
For the CT scan of the pelvis at Jewell County Hospital in Mankato, Kansas, the negotiated rates across seven major payers average $1,140, which is notably higher than the facility's cash price of $900. While commercial insurance contracts often cap charges to protect members, these negotiated amounts can exceed what a patient pays out-of-pocket, particularly if their plan has a high deductible. Because the cash price is lower than the insurer's allowed amount, patients with high-deductible plans may save money by paying the cash rate directly, provided they verify the facility's "self-pay" or "prompt-pay" discounts before scheduling to ensure they are not automatically billed by their insurance.
This service is priced significantly higher than the Medicare benchmark, which stands at $106.81, highlighting the substantial markup inherent in commercial healthcare pricing. Although the data does not include specific state or county average comparisons for this code, the stark difference between the Medicare rate and the commercial negotiated rate illustrates how commercial contracts can inflate costs. To avoid unexpected balance billing or errors, patients should request a full itemized bill before paying, as summary invoices often obscure individual charges. If a patient receives a bill that exceeds the negotiated rate, they should dispute it in writing with the billing supervisor rather than accepting the amount immediately, especially if the service was out-of-network or if the charge appears to include unbundled components.