CT scan, pelvis
Facility: Bob Wilson Memorial Hospital
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $1,957
- Cash Discount Price: $958
- vs. Medicare Baseline: 18.32x 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 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.
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