CT scan, pelvis
Facility: Kearny County Hospital
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $1,425
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 13.34x 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 1334% of the Medicare baseline (a markup of 1234%). 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 |
|---|---|---|
| Wps Gha - Mac J5 Part A | $1,425 | 1334% |
Consumer Guidance & Cost Commentary
For this CT scan of the pelvis at Kearny County Hospital in Lakin, Kansas, the negotiated rate with the single participating payer, Wps Gha - Mac J5 Part A, is $1,425. This amount matches the facility's median negotiated rate exactly, indicating a uniform pricing structure for this service within this network. While the facility is a Critical Access Hospital owned by the local government, the data does not provide specific cash or self-pay rates to compare against the state or county averages. However, it is important to note that cash payments can sometimes be more cost-effective for patients with high-deductible plans if the insurance negotiated rate exceeds the cash price, though no specific cash rate is available for this transaction.
To ensure you receive the most favorable pricing, you should contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can range from 20% to 50% off the billed amount for upfront payment. Since this facility is in-network, the No Surprises Act generally protects you from balance billing for emergency care and non-emergency services at this location, but you should still request an itemized bill to verify that all charges are accurate and that no unbundled codes or services not rendered have been included. Comparing your final payment to the Medicare benchmark of $106.81 reveals a significant markup, highlighting the importance of verifying your specific plan's allowed amount before scheduling to avoid unexpected costs.