CT scan, pelvis
Facility: Logan County Hospital
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $1,031
- Cash Discount Price: $375
- vs. Medicare Baseline: 9.65x 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 965% of the Medicare baseline (a markup of 865%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $480 | 449% |
| Humana | $636 | 595% |
| Health Partners - All Plans | $1,425 | 1334% |
| Medicaid / KanCare | $1,500 | 1404% |
Consumer Guidance & Cost Commentary
For a CT scan of the pelvis at Logan County Hospital in Oakley, Kansas, the negotiated rates for in-network payers like Blue Cross Blue Shield and Humana range from $480 to $636, while Medicaid/Medicare rates are set at $1,500. These commercial rates are significantly higher than the facility's cash price of $375, which could result in substantial savings for patients with high-deductible plans who pay out-of-pocket. Although the facility is a Critical Access Hospital with government ownership, the data shows no specific county or state average provided for comparison; however, it is important to note that cash-pay options often represent the most economical path when insurance negotiated rates exceed the cash price.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, unexpected charges can still occur if ancillary services like labs or imaging are billed separately. To ensure transparency, consumers should request a full itemized bill before paying, as summary invoices may hide unbundled codes or services not rendered. Additionally, since the facility offers a cash price of $375, patients should explicitly ask about "self-pay" or "prompt-pay" discounts at registration to potentially reduce the final amount further, rather than waiting until after receiving an insurance bill.