CT scan, pelvis
Facility: Scott County Hospital
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $1,200
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 11.23x 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 1123% of the Medicare baseline (a markup of 1023%). 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 |
|---|---|---|
| UnitedHealthcare | $60 - $1,380 | 56% |
| Blue Cross Blue Shield | $480 | 449% |
| Humana | $610 | 571% |
| Wppa | $872 - $1,200 | 816% |
| Aetna | $1,308 | 1225% |
Consumer Guidance & Cost Commentary
For a CT scan of the pelvis at Scott County Hospital in Scott City, KS, the facility's negotiated rates range from $480 to $1,380 depending on your specific insurance plan, with the highest negotiated amount being $1,308 for Aetna. This facility is a Critical Access Hospital with a voluntary non-profit ownership structure, and its pricing is significantly higher than the Medicare benchmark of $106.81, sitting 11.2% above that federal baseline. While the state or county average data is not provided in this report, it is important to note that commercial negotiated rates often include administrative overhead and contract dynamics that can inflate the price well above the true cost of care represented by Medicare rates.
Patients should be aware that while in-network insurance provides protection against balance billing for emergency services under the No Surprises Act, the final amount you pay depends heavily on your deductible status and whether your plan covers this service. If you have a high-deductible plan, paying the cash price directly could sometimes be more affordable than the insurance negotiated rate, especially since the cash median is not listed here, suggesting you should verify current cash-pay options. Before scheduling, we strongly recommend asking the hospital about self-pay or prompt-pay discounts, which can offer significant fee reductions for upfront payment, and always request a full itemized bill to ensure no errors or unbundled charges are included in your final statement.