CMS Price Transparency Data

CT scan, pelvis

Facility: Bob Wilson Memorial Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $1,957
  • Cash Discount Price: $958
  • vs. Medicare Baseline: 18.32x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Bob Wilson Memorial Hospital is $1,957. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $958. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.32x the Medicare baseline. Located in 415 N Main Street, Ulysses, KS.
Cash / Self-Pay
$958

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,957

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $958 (897%)
Insurance Median: $1,957 (1832%)
Cash: $958 (897% of Medicare)
Ins. Median: $1,957 (1832% of 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 1832% of the Medicare baseline (a markup of 1732%). 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Centura Employee Plan $337 316%
Blue Cross Blue Shield $641 600%
Humana $766 717%
Medicare (plans) $766 717%
Aetna $766 - $1,916 717%
UnitedHealthcare $766 - $1,997 717%
Kansas Health $766 717%
Multiplan $2,155 - $2,227 2018%
Health Partners Of Kansas $2,251 2107%
Wppa $2,275 2130%

Consumer Guidance & Cost Commentary

For the CPT code 72192 (CT scan, pelvis) at Bob Wilson Memorial Hospital in Ulysses, KS, the facility's cash median price is $958, which is significantly lower than the state average of $2,480. While the hospital is a Critical Access Hospital owned by a voluntary non-profit church, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures. For instance, the median negotiated rate across payers is $1,957, and the highest negotiated amount recorded is $2,275, meaning patients with high-deductible plans might save money by paying the cash price directly if their insurance allowed amount is higher than $958. It is important to verify your specific plan's allowed amount before scheduling, as in-network rates vary widely among the ten payers listed, ranging from $337 for Centura Employee Plans to $2,275 for WPPA.

To maximize savings, patients should proactively ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% for upfront payment. Since hospitals incur significant administrative costs for claims processing and risk management, paying in full before or shortly after the service can bypass these fees and secure immediate liquidity for the facility. Additionally, if you are using insurance, ensure you have not yet met your deductible, as paying the full negotiated rate without meeting this threshold can result in substantial out-of-pocket expenses. Finally, always request a detailed, itemized bill rather than a summary invoice to identify any errors, unbundled codes, or services

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 415 N Main Street, Ulysses, KS 67880
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals