CT scan, pelvis
Facility: Goodland Regional Medical Center
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $761
- Cash Discount Price: $761
- vs. Medicare Baseline: 7.12x 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 712% of the Medicare baseline (a markup of 612%). 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 | $458 | 429% |
| Wppa | $719 - $761 | 673% |
| UnitedHealthcare | $761 | 712% |
Consumer Guidance & Cost Commentary
For a CT scan of the pelvis at Goodland Regional Medical Center, the cash median price is $761.00, which matches the median negotiated rate for in-network payers like Wppa and UnitedHealthcare. While the facility's gross charge is $846.00, patients with high-deductible plans may find paying cash directly more cost-effective than relying on insurance, as the negotiated rates often exceed the cash price. It is important to note that this facility is a Critical Access Hospital in Kansas, and while the cash rate aligns with the negotiated average, patients should always verify if "self-pay" or "prompt-pay" discounts are available before scheduling to potentially lower the final amount owed.
The Medicare benchmark for this service is $106.81, indicating that the facility's commercial rates are significantly higher than the federal baseline. Although the data does not provide specific county or state average comparisons for this procedure, the substantial difference between the Medicare rate and the cash price highlights the typical markup in commercial healthcare pricing. To ensure you are not overcharged, we recommend requesting a full itemized bill before payment to check for any unbundled codes or services not rendered, and disputing any balance billing if you receive a surprise statement from an out-of-network provider.