CT scan, pelvis
Facility: Kingman Healthcare Center
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $110
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.03x 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.
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 |
|---|---|---|
| Medicaid / KanCare | $110 | 103% |
| Healthy Blue | $110 | 103% |
| Aetna | $387 | 362% |
Consumer Guidance & Cost Commentary
For a CT scan of the pelvis at Kingman Healthcare Center in Kingman, KS, the median negotiated rate is $110.00, which aligns exactly with the lowest and highest rates reported by all three payers, including Medicaid/KanCare, Healthy Blue, and Aetna. This facility, a Critical Access Hospital, does not offer a cash median price in the current data, but patients with high-deductible plans should note that paying cash upfront can sometimes be cheaper than the insurance negotiated rate if the insurer's allowed amount exceeds the cash price. Since the negotiated rate here is fixed at $110.00 across all plans, there is no variation to exploit, but it is always advisable to ask the hospital directly about "self-pay" or "prompt-pay" discounts before scheduling to ensure you are receiving the lowest possible fee.
The Medicare benchmark for this service is $106.81, indicating that the commercial negotiated rate of $110.00 is very close to the federal cost baseline, with a ratio of 1.0. This suggests the facility is pricing near the true cost of care rather than applying a significant markup typical of some commercial contracts. While the data does not provide specific county or state average comparisons for this exact procedure, the consistency of the $110.00 rate across all three payers indicates a stable, predictable cost structure for in-network members. Consumers should be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act, meaning patients should not expect to be billed for the difference between the chargemaster and the allowed amount.