CT scan, pelvis
Facility: Mitchell County Hospital Health Systems
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $1,646
- Cash Discount Price: $1,560
- vs. Medicare Baseline: 15.41x 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 1541% of the Medicare baseline (a markup of 1441%). 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 | $107 - $1,733 | 100% |
| Blue Cross Blue Shield | $458 | 429% |
| Triwest Well Mark All Plans | $1,473 | 1379% |
| Aetna | $1,560 | 1461% |
| Pref Hlth Care Sytms Comm - All Plans | $1,560 | 1461% |
| First Health-All Plans | $1,560 | 1461% |
| Auxiant-All Plans | $1,646 | 1541% |
| Phc Leased Ntwrk Access - All Plans | $1,646 | 1541% |
| Multiplan Ppo - All Plans | $1,646 | 1541% |
| Cigna | $1,716 | 1607% |
| Health Partners Ks-All Plans | $1,716 | 1607% |
Consumer Guidance & Cost Commentary
For this CT scan of the pelvis at Mitchell County Hospital Health Systems in Beloit, KS, the cash price is $1,560, which is significantly lower than the facility's gross charge of $1,733. While the facility is a Critical Access Hospital with government local ownership, the negotiated rates for in-network insurance plans range from $458 to $1,733, with a median negotiated amount of $1,646. This suggests that for patients with high-deductible plans, paying the cash price of $1,560 upfront could be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash rate. Patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final amount owed.
The facility's cash rate of $1,560 is notably higher than the Medicare benchmark of $106.81, reflecting the standard markup for commercial services, though it remains below the gross charge. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, patients should still verify their specific plan details to avoid unexpected costs. If you receive an itemized bill, request a full line-by-line audit to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors that can be corrected. Always compare the facility's rates against local averages and confirm your deductible status before proceeding with care to ensure you are not paying more than necessary.