CMS Price Transparency Data

CT scan, pelvis

Facility: Hodgeman County Health Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $1,192
  • Cash Discount Price: $1,354
  • vs. Medicare Baseline: 11.16x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Hodgeman County Health Center is $1,192. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,354. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.16x the Medicare baseline. Located in 809 Bramley, Jetmore, KS.
Cash / Self-Pay
$1,354

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,192

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: $1,354 (1268%)
Insurance Median: $1,192 (1116%)
Cash: $1,354 (1268% of Medicare)
Ins. Median: $1,192 (1116% 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 1116% of the Medicare baseline (a markup of 1016%). 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
Blue Cross Blue Shield $435 - $458 407%
Humana $1,084 1015%
Triwest - All Plans $1,084 1015%
UnitedHealthcare $1,084 - $1,608 1015%
Medicaid / KanCare $1,084 - $1,693 1015%
Aetna $1,354 1268%
First Health - All Plans $1,524 1427%
Wppa (Provdrscare) - All Plans $1,608 1505%
Health Partners - All Plans $1,608 1505%

Consumer Guidance & Cost Commentary

For the CT scan of the pelvis (CPT 72192) at Hodgeman County Health Center in Jetmore, Kansas, the cash price is $1,354, which aligns with the state average for this service. While commercial insurance plans like Humana and Triwest have a negotiated rate of $1,084, other payers such as UnitedHealthcare and Medicaid/KanCare have negotiated ranges extending up to $1,693. This demonstrates that in-network coverage does not guarantee the lowest cost; in some cases, paying cash directly can be cheaper than the insurance negotiated rate, particularly for patients with high deductibles. Because the facility is a Critical Access Hospital owned by the local government, patients should explicitly ask about self-pay or prompt-pay discounts before scheduling, as these upfront incentives can significantly reduce the final bill.

The Medicare benchmark for this procedure is $106.81, which serves as the objective baseline for evaluating pricing fairness. The facility's cash rate of $1,354 represents a significant markup compared to the federal government's cost-based reimbursement, a common characteristic of commercial pricing structures. To ensure you are not overcharged, request a full itemized bill that breaks down every CPT code and charge, as summary bills often hide unbundled fees or services not rendered. If you receive a balance bill from an out-of-network provider at this in-network facility, you may be protected under the No Surprises Act, which prohibits providers from charging you the difference between their full rate and your insurance allowed amount for emergency or non-emergency services. Always dispute any unexpected balance bills in writing rather than paying immediately to avoid credit damage.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

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