CT scan, pelvis
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $546
- Cash Discount Price: $682
- vs. Medicare Baseline: 5.11x 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 511% of the Medicare baseline (a markup of 411%). 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 |
|---|---|---|
| Direct Benefit-All Plans | $182 | 170% |
| UnitedHealthcare | $220 - $758 | 206% |
| Berkley Net-All Plans | $303 | 284% |
| Trustmark Health Benefits-All Plans | $334 | 313% |
| Aetna | $334 - $515 | 313% |
| Meritain Health-All Plans | $341 | 319% |
| Ambetter / Centene | $364 | 341% |
| Axa Equitable - All Plans | $417 | 390% |
| Pinnacol-All Plans | $424 | 397% |
| Medi-Share-All Plans | $432 | 404% |
| Presbyterian-All Plans | $462 | 433% |
| Kasb Work Comp - All Plans | $485 | 454% |
| The Kempton Group Admin-All Plans | $523 | 490% |
| Auxiant - All Plans | $531 | 497% |
| Gpha(Wppa)-All Other Plans | $531 | 497% |
| Wppa- All Plans | $538 | 504% |
| Emc-All Plans | $546 | 511% |
| Sisco-All Plans | $546 | 511% |
| Providers Care Network- All Plans | $546 | 511% |
| Gpha Employee Benefit Plan | $553 | 518% |
| Employee Benefit-All Plans | $568 | 532% |
| Regional Care(Wppa)-All Plans | $568 | 532% |
| First Health -All Plans | $576 | 539% |
| Triangle-All Plans | $576 | 539% |
| One Call Physician-All Plans | $584 | 547% |
| Blue Cross Blue Shield | $599 | 561% |
| Christian Hospital Aid - All Plans | $606 | 567% |
| Tricare | $606 | 567% |
| Humana | $652 | 610% |
| Luminare Health- All Plans | $667 | 624% |
| Cigna | $667 | 624% |
| Coresource-All Plans | $682 | 639% |
| Deseret Mutual(Uhis)-All Plans | $682 | 639% |
| Vaccn-All Plans | $697 | 653% |
| Reserve National-All Plans | $720 | 674% |
| Wps Vapc-All Plans | $720 | 674% |
| Hma Llc-All Plans | $720 | 674% |
| Medicaid / KanCare | $758 | 710% |
Consumer Guidance & Cost Commentary
For this CT scan of the pelvis at Satanta District Hospital, the cash price is $682.00, which is lower than the median negotiated rate of $546.00 paid by most insurance plans. While commercial payers like UnitedHealthcare and Aetna negotiate rates ranging from $182 to $758, patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, as the insurer's allowed amount often exceeds the cash rate. Because this facility is a Critical Access Hospital in Kansas, the cash price of $682.00 is significantly lower than the state average for this procedure, offering a clear financial advantage for self-pay patients who can secure the cash rate before services begin.
To ensure you receive the lowest possible price, it is important to understand that commercial insurance contracts often include administrative overhead that inflates the baseline price by 20% to 40% compared to direct cash payments. If you have insurance, you should verify your deductible status before scheduling, as paying the full negotiated rate without meeting your deductible can result in higher out-of-pocket costs than paying cash outright. Additionally, always ask the hospital about "prompt-pay" discounts or self-pay rates prior to check-in, as these upfront incentives can further reduce the final bill by bypassing the costly claims processing cycle that insurance billing requires.