CT scan, pelvis
Facility: Lindsborg Community Hospital
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $2,473
- Cash Discount Price: $1,892
- vs. Medicare Baseline: 23.15x 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 2315% of the Medicare baseline (a markup of 2215%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $453 | 424% |
| Tricare | $1,270 | 1189% |
| Coventry Mcr Adv | $1,283 | 1201% |
| Cigna | $2,297 | 2151% |
| Coventry Comm-All Other Plans | $2,432 | 2277% |
| UnitedHealthcare | $2,432 | 2277% |
| Phcs Preferred-All Plans | $2,513 | 2353% |
| Multiplan-All Plans | $2,513 | 2353% |
| Health Partners -All Plans | $2,567 | 2403% |
| Century Health-All Plans | $2,567 | 2403% |
| Wppa-All Plans | $2,567 | 2403% |
| Coventry Wc | $2,567 | 2403% |
Consumer Guidance & Cost Commentary
For a CT scan of the pelvis at Lindsborg Community Hospital, the cash price is $1,892, which is lower than the facility's negotiated rates of $2,473 and the median paid amount of $2,513. This cash rate is also significantly lower than the gross charge of $2,703. Patients with high-deductible plans may find paying cash directly more affordable than using insurance, as the negotiated rates for in-network payers like Coventry Mcr Adv ($1,283) and Cigna ($2,297) can exceed the cash price depending on their specific plan coverage. It is important to verify your deductible status before scheduling, as paying the full negotiated rate without meeting your deductible can result in higher out-of-pocket costs than the cash option. Additionally, patients should explicitly request a "self-pay" or "prompt-pay" discount from the hospital before check-in, as these upfront payment incentives can further reduce the final bill.
The facility's pricing is benchmarked against Medicare, which sets a baseline rate of $106.81 for this procedure. The cash price of $1,892 represents a markup of 23.2% above the Medicare amount, while the median negotiated rate of $2,473 reflects the typical commercial pricing structure. When reviewing your bill, ensure you receive an itemized statement rather than a summary bill, which may obscure individual charges or unbundled codes. If you receive a large balance bill from an out-of-network provider, you may be entitled to protections under the No Surprises Act, which bans balance billing for emergency care and non-emergency services at in-network facilities