CT scan, pelvis
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $100
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.94x 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 |
|---|---|---|
| Medicare (plans) | $98 - $100 | 92% |
| Humana | $98 | 92% |
| Va | $98 | 92% |
| Vc Hope | $98 | 92% |
| UnitedHealthcare | $100 - $275 | 94% |
| Blue Cross Blue Shield | $100 | 94% |
| Smarthealth | $138 | 129% |
| Aetna | $162 - $682 | 152% |
| Medicaid / KanCare | $167 | 156% |
| Cigna | $236 | 221% |
Consumer Guidance & Cost Commentary
For the CT scan of the pelvis (CPT 72192) at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rates range from $98 to $275 depending on the insurance carrier. While Medicare sets a benchmark of $106.81, most commercial payers have negotiated rates that align closely with this federal standard, with only UnitedHealthcare and Aetna showing higher ranges of up to $275 and $682, respectively. It is important to note that cash-pay rates are not available for this service, meaning patients cannot utilize potential savings from paying out-of-pocket. However, patients should still inquire about "self-pay" or "prompt-pay" discounts directly with the hospital, as these upfront payment incentives can sometimes reduce the final cost even when insurance is involved.
This service is provided by a Part A hospital, and while the data does not include specific county or state average comparisons for this exact procedure, the facility's rates are generally consistent with the broader market for this imaging type. Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, it is crucial to verify network status before scheduling. If a patient has a high deductible plan, they should confirm whether they have met their out-of-pocket threshold, as this determines if the facility will bill the negotiated rate directly or if the patient is responsible for the full amount. Finally, if a bill is received, patients should request a detailed, itemized statement to ensure no errors or unbundled charges are present before making any payments.