CMS Price Transparency Data

CT scan, pelvis

Facility: Trego County Lemke Memorial Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $657
  • Cash Discount Price: $659
  • vs. Medicare Baseline: 6.15x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Trego County Lemke Memorial Hospital is $657. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $659. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.15x the Medicare baseline. Located in 320 N Thirteenth St, Wakeeney, KS.
Cash / Self-Pay
$659

Average discount available for prompt cash payment at this facility.

Insurance Median
$657

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: $659 (617%)
Insurance Median: $657 (615%)
Cash: $659 (617% of Medicare)
Ins. Median: $657 (615% 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 615% of the Medicare baseline (a markup of 515%). 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
Humana $380 356%
Tricare $410 384%
Medicaid / KanCare $480 - $775 449%
UnitedHealthcare $480 - $775 449%
Va Ccn - All Plans $480 449%
Aetna $480 - $698 449%
Ambetter / Centene $529 495%
Blue Cross Blue Shield $657 615%
Health Partners - All Plans $736 689%
Healthy Blue Mcaid - All Plans $775 726%

Consumer Guidance & Cost Commentary

For the CT scan of the pelvis at Trego County Lemke Memorial Hospital, the facility's cash price of $659 is notably higher than the state average of $481, though it aligns closely with the county average of $659. While the facility's cash rate exceeds the state median, patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the negotiated rates for many commercial payers range from $480 to $775, often exceeding the cash amount. It is important to note that the facility is a Critical Access Hospital owned by the local government, and while the cash price is competitive relative to the county, it remains above the state benchmark.

The facility's negotiated rates vary significantly by payer, with the lowest allowed amount being $380 for Humana and the highest at $775 for Health Partners. These negotiated rates generally exceed the Medicare amount of $106.81, reflecting the standard administrative markup inherent in insurance contracts. Patients should be aware that while the facility offers a cash price of $659, they should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the total cost by bypassing complex claims processing. Additionally, since the facility is in-network for most major payers, the No Surprises Act protects patients from unexpected balance billing for emergency services, ensuring that the final charge will not exceed the negotiated or cash rates listed above.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 320 N Thirteenth St, Wakeeney, KS 67672
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals