CMS Price Transparency Data

CT scan, pelvis

Facility: Cheyenne County Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $732
  • Cash Discount Price: $655
  • vs. Medicare Baseline: 6.85x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Cheyenne County Hospital is $732. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $655. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.85x the Medicare baseline. Located in 210 West 1St Street, St Francis, KS.
Cash / Self-Pay
$655

Average discount available for prompt cash payment at this facility.

Insurance Median
$732

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%)
Cash / Self-Pay: $655 (613%)
Insurance Median: $732 (685%)
Cash: $655 (613% of Medicare)
Ins. Median: $732 (685% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 685% of the Medicare baseline (a markup of 585%). 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.

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
UnitedHealthcare $215 - $770 201%
Blue Cross Blue Shield $453 424%
First Health - All Plans $539 505%
Healthy Blue Mcr Adv $554 519%
Tricare $554 519%
Aetna $554 - $732 519%
Choice Care - All Plans $560 524%
Firstguard - All Plans $616 577%
Wppa - All Plans $693 649%
Preferred Hc - All Plans $732 685%
Cpm - All Plans $732 685%
Midlands Choice - All Plans $747 699%
Integrated Hp - All Plans $755 707%
Ppo Next - All Plans $755 707%
Health Partners - All Plans $755 707%
Unicare - All Plans $755 707%
Childrens Mercy - All Plans $770 721%
Healthwave Mcaid - All Plans $770 721%
Healthy Blue Mcaid - All Other Plans $770 721%
Providers Care-All Plans $1,155 1081%

Consumer Guidance & Cost Commentary

For CPT code 72192, a CT scan of the pelvis at Cheyenne County Hospital in St. Francis, KS, the facility's cash median price is $655.00, which is lower than the state average of $693.00. While many insurance payers have negotiated rates ranging from $453 to $1,155, patients with high-deductible plans may find the cash price more affordable if their insurer's negotiated rate exceeds $655.00. It is important to note that commercial negotiated rates often include administrative overhead and can be significantly higher than the true cost of care, making the cash rate a valuable benchmark for comparison.

Patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can lower the final bill by 20% to 50%. If you receive a bill after using insurance, ensure you request a full itemized audit to identify any errors, double-billing, or unbundled codes, as over 80% of hospital bills contain inaccuracies. Additionally, under the No Surprises Act, you are protected from balance billing for out-of-network services at in-network facilities, so do not sign away your rights to dispute unexpected charges without first verifying the legality of the bill.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 210 West 1St Street, St Francis, KS 67756
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals