CMS Price Transparency Data

CT scan, pelvis

Facility: Holton Community Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $1,816
  • Cash Discount Price: $1,641
  • vs. Medicare Baseline: 17.00x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Holton Community Hospital is $1,816. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,641. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 17.00x the Medicare baseline. Located in 1110 Columbine Drive, Holton, KS.
Cash / Self-Pay
$1,641

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,816

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: $1,641 (1536%)
Insurance Median: $1,816 (1700%)
Cash: $1,641 (1536% of Medicare)
Ins. Median: $1,816 (1700% 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 1700% of the Medicare baseline (a markup of 1600%). 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
Blue Cross Blue Shield $453 424%
UnitedHealthcare $1,160 - $2,188 1086%
Aetna $1,160 - $2,188 1086%
Humana $1,171 1096%
Kansas Superior Select - All Plans $1,183 1108%
Preferred Health Freedom $1,816 1700%
Preferred Health Fn Select - All Other Plans $1,816 1700%
Preferred Health Professionals $1,816 1700%
Wppa Providers - All Plans $2,079 1946%
Medicaid / KanCare $2,188 2048%

Consumer Guidance & Cost Commentary

For a CT scan of the pelvis at Holton Community Hospital in Holton, KS, the cash price is $1,641, which is lower than the facility's gross charge of $2,188. While the hospital is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that insurance negotiated rates can sometimes exceed cash prices. For instance, UnitedHealthcare, Aetna, and Kansas Superior Select all have negotiated rates starting at $1,160 to $2,188, meaning a patient with a high-deductible plan might save money by paying the cash rate directly. It is important to verify your specific plan's deductible status before scheduling, as paying the full negotiated amount could be required if you have not yet met your out-of-pocket threshold.

To ensure you are not overcharged, always request an itemized bill before paying, as summary bills often hide unbundled codes or services not rendered. If you receive a balance bill for out-of-network services at an in-network facility, you may be protected under the No Surprises Act, which bans balance billing for emergency and non-emergency care. Additionally, ask the billing department about prompt-pay discounts, which can reduce the cash price by 20% to 50% if paid in full upfront, bypassing the administrative costs associated with insurance claims processing.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1110 Columbine Drive, Holton, KS 66436
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals