CMS Price Transparency Data

CT scan, pelvis

Facility: Deaconess Henderson Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $97
  • Cash Discount Price: $423
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Deaconess Henderson Hospital is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $423. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.91x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$423

Average discount available for prompt cash payment at this facility.

Insurance Median
$97

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: $423 (396%)
Insurance Median: $97 (91%)
Cash: $423 (396% of Medicare)
Ins. Median: $97 (91% 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.

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
Blue Cross Blue Shield $44 - $97 41%
Wellcare Il $44 - $97 41%
Aetna $46 - $1,369 43%
Humana $46 - $1,129 43%
Medicare (plans) $46 - $97 43%
Mhs Mco $46 - $97 43%
Molina Healthcare Of Ky $46 - $97 43%
Molina Healthcare Of Ky - Exchange $46 - $97 43%
Mytru Advantage $46 - $97 43%
Umwa $46 - $97 43%
UnitedHealthcare $46 - $282 43%
Wellcare Ky $46 - $160 43%
Medicaid / KanCare $47 - $282 44%
Caresource In $48 - $77 45%
Center Care Narrow $49 - $896 46%
Center Care Open Access $49 - $596 46%
Caresource In Marketplace $60 - $145 56%
Wellcare Ky Commercial Exchange $60 - $198 56%
Alliance Coal $64 - $145 60%
Ky Racing Health & Welfare Fund $70 - $409 66%
Self-Pay $70 - $423 66%
Noncontracted $74 - $154 69%
Encircle/Encore Combined $76 - $817 71%
Encircle/Encore Prime $76 - $761 71%
Cigna $120 - $903 112%
Claimdoc $120 - $847 112%
Hopetrust $120 - $447 112%
Hstechnology $120 - $447 112%
Amish And Mennonite Of Western Ky $130 - $484 122%
Coventry National Network $160 - $1,129 150%
Webster County Detention Center $160 - $1,129 150%
First Health Network (Coventry) $168 - $1,199 157%
Healthlink $168 - $1,058 157%
Iu Health Plans $168 - $755 157%
Phcs/Multiplan $168 - $1,270 157%
Sagamore $168 - $1,242 157%
Henderson County Detention Center $180 - $1,270 169%
One Care $212 198%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals