CMS Price Transparency Data

CT scan, pelvis

Facility: Great Plains Of Sabetha

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $630
  • Cash Discount Price: $663
  • vs. Medicare Baseline: 5.90x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Great Plains Of Sabetha is $630. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $663. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.90x the Medicare baseline. Located in 603 S 14Th Street, Sabetha, KS.
Cash / Self-Pay
$663

Average discount available for prompt cash payment at this facility.

Insurance Median
$630

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: $663 (621%)
Insurance Median: $630 (590%)
Cash: $663 (621% of Medicare)
Ins. Median: $630 (590% 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 590% of the Medicare baseline (a markup of 490%). 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
Celtic Mcr Adv $345 323%
Aetna $348 - $670 326%
Celtic Comm Exchange-All Other Plans $431 404%
Great West Healthcare-All Plans $564 528%
UnitedHealthcare $617 - $663 578%
Cigna $630 590%
Multiplan-Phcs-All Plans $630 590%
Humana $630 590%
Century/Wppa/Providers-All Plans $630 590%
Federated Mutual Ins-All Plans $636 595%
Blue Cross Blue Shield $663 621%
Medicaid / KanCare $663 621%

Consumer Guidance & Cost Commentary

For the CT scan of the pelvis at Great Plains Of Sabetha in Sabetha, Kansas, the cash price is $663.00, which matches the facility's gross charge and the cash median. This rate is significantly higher than the state average, reflecting the typical markup found in commercial pricing where negotiated rates often reach 200% to 300% of the Medicare benchmark. While the Medicare amount for this service is $106.81, the facility's cash price suggests a markup well above the fair pricing range of 120% to 150% of Medicare. Patients with high-deductible plans may find the cash price more affordable than their insurance negotiated rate, which averages $630.00 across various payers, though this negotiated amount still exceeds the Medicare baseline.

To minimize costs, patients should verify if the facility offers "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% for upfront payment. Although the facility is a voluntary non-profit Critical Access Hospital, the lack of a published facility rating means independent consumer verification is essential. Given that balance billing protections under the No Surprises Act apply to emergency care and non-emergency services at in-network facilities, patients should ensure their plan is in-network to avoid unexpected out-of-pocket differences. Finally, requesting an itemized billing audit is recommended, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered, which can be disputed in writing to secure a fair final invoice.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 603 S 14Th Street, Sabetha, KS 66534
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals