CMS Price Transparency Data

CT scan, pelvis

Facility: Hodgeman County Health Center

Billing Code: 72192 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$553
about 5.2× the $107 Medicare rate · typically $147–$825
modeled estimate · not a bill or quote
What this hospital charges insurers
$446
Below the fair price — a good deal
about $107 under the fair price · 4.2× Medicare
Medicare pays $107 Fair price $553 This hospital $446 Cash price $1,354 Hospital's list price $1,693

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

Highest price of the 9 KS hospitals we have prices for — worth calling around.

Cheapest $65 Priciest $446

Black dot = this hospital, among the 9 KS hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, pelvis is about $553 (about 5.2× the $107 Medicare rate). Hodgeman County Health Center charges insurers about $446, or about $1,354 in cash — below the fair price — a good deal. Located in Jetmore, KS.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $1,084 - $1,608 1015%
Blue Cross Blue Shieldmajor $435 - $458 407%
Aetnamajor $1,354 1268%
Humanamajor $1,084 1015%
HealthPartners $1,608 1505%
+ 1 smaller / regional plan $1,608
Government programs also on file: Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 809 Bramley, Jetmore, KS 67854
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals