CT scan, pelvis
Facility: Neosho Memorial Regional Medical Center
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $917
- Cash Discount Price: $2,149
- vs. Medicare Baseline: 8.59x 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 859% of the Medicare baseline (a markup of 759%). 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 |
|---|---|---|
| Medicaid / KanCare | $60 | 56% |
| Blue Cross Blue Shield | $531 - $917 | 497% |
| Tricare | $883 | 827% |
| Aetna | $917 | 859% |
| Medicare (plans) | $917 | 859% |
| Va_Ccn | $917 | 859% |
| Medadv_Allwell | $917 | 859% |
| Humana | $917 | 859% |
| Medadv_Uhc | $917 | 859% |
| Ambetter / Centene | $1,444 | 1352% |
| Wppa_Providrscare | $2,378 | 2226% |
| United | $2,384 | 2232% |
| Coventry | $2,722 | 2548% |
| Hpk | $2,722 | 2548% |
| Cigna | $2,722 | 2548% |
Consumer Guidance & Cost Commentary
For the CT scan of the pelvis at Neosho Memorial Regional Medical Center in Chanute, Kansas, the facility's negotiated rates range from $60 for Medicaid / KanCare to $2,722 for providers like Coventry and Cigna, with a median negotiated amount of $917. This facility is a Critical Access Hospital with government-local ownership, and its pricing structure is significantly influenced by the fact that its cash price of $2,149 is higher than the median negotiated rate of $917. While commercial insurance contracts often create a ceiling on what insurers pay, patients with high-deductible plans might find the cash price more affordable if their specific plan's negotiated rate exceeds $2,149. It is important to note that this facility's pricing does not include a direct comparison to state or county averages in the available data, so consumers should verify local market rates independently.
When reviewing your bill, be aware that the Medicare benchmark for this service is $106.81, which serves as a baseline for evaluating the facility's markup. The facility's cash median of $2,149 is substantially higher than the Medicare amount, illustrating the typical markup found in commercial billing. To minimize costs, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the total bill by 20% to 50%. Additionally, if you have insurance, ensure you are aware of your deductible status before using the service, as paying out-of-pocket without meeting your deductible could result in charges closer to the negotiated rate rather than the cash price. Always request a detailed, itemized bill to