CMS Price Transparency Data

CT scan, pelvis

Facility: Kiowa District Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $816
  • Cash Discount Price: $691
  • vs. Medicare Baseline: 7.64x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Kiowa District Hospital is $816. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $691. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.64x the Medicare baseline. Located in 1002 South 4Th Street, Kiowa, KS.
Cash / Self-Pay
$691

Average discount available for prompt cash payment at this facility.

Insurance Median
$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: $691 (647%)
Insurance Median: $816 (764%)
Cash: $691 (647% of Medicare)
Ins. Median: $816 (764% 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 764% of the Medicare baseline (a markup of 664%). 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
Healthchoice-All Plans $280 262%
Tricare $337 316%
Blue Cross Blue Shield $453 424%
UnitedHealthcare $691 - $864 647%
Health Partners Of Ks-All Plans $760 712%
Humana $780 730%
Gbs Insurance - All Plans $812 760%
Multiplan-All Plans $812 760%
Triwest-All Plans $821 769%
Aetna $821 769%
Medicare (plans) $821 769%
Medicaid / KanCare $864 809%
Providers Care (Wppa)-All Plans $1,296 1213%
Liberty Healthshare-All Plans $1,395 1306%

Consumer Guidance & Cost Commentary

For a CT scan of the pelvis at Kiowa District Hospital, the cash price is $691.00, which is lower than the facility's negotiated rates for most major payers. While the median negotiated amount across 14 payers is $812.00, the cash rate offers a potential savings of $121.00 compared to the average insurance payment. This price difference is particularly relevant for patients with high-deductible plans, as paying the cash price upfront can be more cost-effective than incurring the higher negotiated fees that insurance companies charge. Additionally, patients should inquire directly with the hospital about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by bypassing administrative processing costs associated with insurance claims.

The facility's pricing is evaluated against the Medicare benchmark of $106.81, which serves as a scientifically validated baseline for the true cost of care. Although the commercial negotiated rates average significantly higher than Medicare, the cash price of $691.00 remains a critical reference point for consumers. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients 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. By comparing the cash rate to the Medicare benchmark and actively seeking prompt-pay discounts, patients can ensure they are paying a fair and transparent price for their care.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1002 South 4Th Street, Kiowa, KS 67070
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals