CT scan, pelvis
Facility: Cheyenne County Hospital
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $732
- Cash Discount Price: $655
- vs. Medicare Baseline: 6.85x 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 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.
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.