CT scan, pelvis
Facility: Cloud County Health Center
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $2,567
- Cash Discount Price: $1,892
- vs. Medicare Baseline: 24.03x 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 2403% of the Medicare baseline (a markup of 2303%). 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 |
|---|---|---|
| Aetna | $2,432 - $2,513 | 2277% |
| Pponext-All Plans | $2,567 | 2403% |
| Mpi-All Plans | $2,567 | 2403% |
| Health Partners - All Plans | $2,567 | 2403% |
Consumer Guidance & Cost Commentary
For a CT scan of the pelvis at Cloud County Health Center in Concordia, KS, the facility's cash median price is $1,892, which is lower than the state average of $2,567. While many commercial payers negotiate rates around $2,567, patients with high-deductible plans may find paying cash directly more affordable, as the cash price is significantly below the negotiated amounts. To maximize savings, it is advisable to ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can further reduce the cost if you choose to settle the bill upfront rather than relying on insurance processing.
This service is benchmarked against the federal Medicare rate of $106.81, highlighting that commercial rates often exceed the true cost of care delivery. Under the No Surprises Act, patients are protected from balance billing for out-of-network services at in-network facilities, but it remains crucial to request a detailed, itemized bill before paying to avoid errors or unbundled charges. If you receive a summary bill, you should demand a full line-by-line statement to identify any discrepancies, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute.