CT scan, pelvis
Facility: Greenwood County Hospital
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $751
- Cash Discount Price: $711
- vs. Medicare Baseline: 7.03x 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 703% of the Medicare baseline (a markup of 603%). 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 |
|---|---|---|
| Triwest - All Plans | $317 | 297% |
| UnitedHealthcare | $373 - $747 | 349% |
| Tricare | $373 | 349% |
| Choicecare Mcr Adv - All Plans | $373 | 349% |
| Blue Cross Blue Shield | $430 - $453 | 403% |
| Integrated Health Plan - All Plans | $667 | 624% |
| Beech Street - All Plans | $756 | 708% |
| First Health - All Other Plans | $756 | 708% |
| First Health Ccn Network | $756 | 708% |
| Preferred Hs (Coventry) - All Plans | $800 | 749% |
| Principal Health Care Inc - All Plans | $845 | 791% |
| Medicaid / KanCare | $889 | 832% |
| Amerigroup Mcaid-All Plans | $889 | 832% |
| Providrs Care/Wppa - All Plans | $1,334 | 1249% |
Consumer Guidance & Cost Commentary
For the CPT code 72192 (CT scan, pelvis) at Greenwood County Hospital in Eureka, KS, the facility's cash price of $711.00 is significantly lower than the gross charge of $889.00. While the Medicare benchmark rate for this service is $106.81, commercial negotiated rates vary widely among payers, ranging from $317 to $1,334. Notably, the median negotiated rate across all payers is $751.00, which is slightly higher than the cash price, suggesting that patients with high-deductible plans might save money by paying cash directly rather than relying on insurance, provided they have the funds available. It is important to verify your specific plan's allowed amount, as some commercial contracts may exceed the cash price due to administrative overhead and contract dynamics.
To maximize savings, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. Additionally, since this facility is a Critical Access Hospital owned by the local government, it may offer favorable rates compared to larger urban centers, though specific county or state averages were not provided in this dataset. If you receive a bill, always request a detailed, itemized statement to review the exact CPT codes and unit costs, as summary bills can sometimes obscure errors or unbundled charges. Under the No Surprises Act, you are protected from balance billing for out-of-network providers at in-network facilities, so do not feel pressured to pay unexpected differences immediately without first disputing the claim with your insurer