CT scan, pelvis
Facility: Minneola District Hospital
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $490
- Cash Discount Price: $338
- vs. Medicare Baseline: 4.59x 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 459% of the Medicare baseline (a markup of 359%). 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 |
|---|---|---|
| Humana | $48 - $412 | 45% |
| UnitedHealthcare | $48 - $615 | 45% |
| Va Community Care Program-All Plans | $48 - $412 | 45% |
| Aetna | $110 - $615 | 103% |
| Medicaid / KanCare | $110 - $615 | 103% |
| Providrs Care Network-All Plans | $110 - $523 | 103% |
| Blue Cross Blue Shield | $458 | 429% |
| Corporate Plan Management-All Plans | $523 | 490% |
| Triwest-All Plans | $554 | 519% |
| Preferred Health Care (Coventry)-All Other Plans | $554 | 519% |
| Phc (Coventry) Leased Network | $584 | 547% |
| Health Partners Of Kansas-All Plans | $584 | 547% |
Consumer Guidance & Cost Commentary
For a CT scan of the pelvis at Minneola District Hospital, the cash price is $338, which is lower than the facility's negotiated rates for most commercial payers. While the hospital is a Critical Access Hospital in Kansas, the cash rate of $338 is notably lower than the median negotiated amount of $554 and the state average of $490. Patients with high-deductible plans may find it beneficial to pay the cash price directly, as it avoids the administrative overhead and higher negotiated rates that insurance carriers typically charge. It is important to verify self-pay or prompt-pay discounts with the hospital before scheduling, as these upfront payments can significantly reduce the final cost compared to standard insurance billing.
The facility's billing structure shows a wide variation in allowed amounts depending on the insurance plan, ranging from a low of $48 for Humana to a high of $615 for UnitedHealthcare. When compared to the Medicare benchmark of $106.81, the facility's cash rate of $338 represents a markup of 4.6 times the Medicare amount, which is consistent with commercial pricing dynamics where negotiated rates often exceed fair market value. To ensure you are not overcharged, request a detailed itemized bill to review specific CPT codes and avoid summary bills that may hide unbundled charges or services not rendered. If you receive a balance bill from an out-of-network provider, you may be eligible for protections under the No Surprises Act, so always dispute unexpected charges with your insurer rather than paying immediately.