CMS Price Transparency Data

CT scan, pelvis

Facility: Ellsworth County Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $797
  • Cash Discount Price: $885
  • vs. Medicare Baseline: 7.46x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Ellsworth County Medical Center is $797. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $885. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.46x the Medicare baseline. Located in 1604 Aylward Avenue, Ellsworth, KS.
Cash / Self-Pay
$885

Average discount available for prompt cash payment at this facility.

Insurance Median
$797

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: $885 (829%)
Insurance Median: $797 (746%)
Cash: $885 (829% of Medicare)
Ins. Median: $797 (746% 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 746% of the Medicare baseline (a markup of 646%). 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
Va Ccn-All Plans $416 389%
Triwest -All Plans $416 389%
Humana $416 - $841 389%
Healthy Blue Mcr Adv $416 389%
Blue Cross Blue Shield $430 - $453 403%
UnitedHealthcare $575 - $885 538%
Aetna $796 745%
First Health - All Plans $796 745%
Cigna $841 787%
Healthy Blue Mcaid- All Other Plans $885 829%
Coventry Mcaid-All Plans $885 829%
Medicaid / KanCare $885 829%
Providers Care-Wppa-All Plans $1,328 1243%

Consumer Guidance & Cost Commentary

For the CT scan of the pelvis at Ellsworth County Medical Center in Ellsworth, Kansas, the facility's cash price is $885.00, which matches the highest negotiated rate paid by UnitedHealthcare and Cigna. This cash rate is significantly higher than the state average for this procedure, indicating that commercial insurance contracts in this region often result in higher out-of-pocket costs for patients compared to paying directly. While the facility offers a cash price of $885.00, patients with high-deductible plans should verify if their specific insurance negotiated rate exceeds this amount, as paying cash upfront could potentially save money. Additionally, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can lower the final cost by 20% to 50%.

The median amount paid by insurance payers for this service is $686.00, which is lower than the cash price but still represents a substantial portion of the gross charge of $885.00. When compared to the Medicare benchmark of $106.81, the facility's rates reflect a significant markup typical of commercial billing structures. If a patient receives care from an out-of-network provider or encounters unexpected ancillary services, they may face balance billing for the difference between the provider's full charge and the insurance allowed amount. To avoid surprise costs, patients should request a full itemized bill before paying and dispute any errors in writing, as over 80% of hospital bills contain mistakes that can be corrected through a formal audit.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1604 Aylward Avenue, Ellsworth, KS 67439
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals