CT scan, pelvis
Facility: Wamego Health Center
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $70
- Cash Discount Price: $1,146
- vs. Medicare Baseline: 0.66x 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.
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 |
|---|---|---|
| UnitedHealthcare | $42 - $91 | 39% |
| Medicaid / KanCare | $44 - $139 | 41% |
| Aetna | $44 - $94 | 41% |
| Providrs Care | $69 - $183 | 65% |
| Tricare | $174 | 163% |
| Blue Cross Blue Shield | $631 - $664 | 591% |
Consumer Guidance & Cost Commentary
For a CT scan of the pelvis at Wamego Health Center, the cash median price is $1,146, which is significantly lower than the facility's gross charge of $2,864. While insurance plans like Medicaid/KanCare and Aetna negotiate rates ranging from $44 to $139 and $44 to $94 respectively, these negotiated amounts often exceed the cash price. Patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, as the insurance negotiated rates can sometimes be higher than the self-pay amount. To secure the lowest possible cost, it is recommended to ask the facility about "self-pay" or "prompt-pay" discounts before scheduling, as paying in full upfront can often reduce the final bill.
This procedure's pricing is evaluated against federal benchmarks to ensure transparency. The Medicare amount for this service is $106.81, and the facility's cash rate is approximately 10.8 times the Medicare benchmark, reflecting standard commercial pricing structures. Although specific state or county average data was not provided in the report, the facility's cash price remains a key reference point for consumers. If you receive a bill that appears higher than expected, you should request an itemized audit to verify that no services were double-billed or unbundled, as over 80% of hospital bills contain errors. Additionally, under the No Surprises Act, you are protected from balance billing for out-of-network services at in-network facilities, so any unexpected charges should be disputed immediately with your insurer.