CMS Price Transparency Data

CT scan, pelvis

Facility: Frankfort Regional Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $721
Cash Discount Price: $2,978
vs. Medicare Baseline: 6.75x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Frankfort Regional Medical Center is $721. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,978. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.75x the Medicare baseline. Located in 299 Kings Daughters Drive, Frankfort, KY.

Cash / Self-Pay

$2,978

Average discount available for prompt cash payment at this facility.

Insurance Median

$721

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: $2,978 (2788%)

Insurance Median: $721 (675%)

Cash: $2,978 (2788% of Medicare)

Ins. Median: $721 (675% 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 675% of the Medicare baseline (a markup of 575%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$238	223%
Molina	$238	223%
United	$238 - $1,340	223%
Humana	$241	226%
Corvel	$478	448%
Prime Health	$478	448%
Coventry Cares	$536	502%
Signature Advantage	$566	530%
Cigna	$876	820%
Essence Healthcare	$1,340	1255%
Baptist Health Network	$1,608	1505%
Hospice Of Central Kentucky	$1,876	1756%
Occupational Mc Alliance	$2,382	2230%
Multiplan	$2,829	2649%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,978.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72192.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Frankfort Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72192.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.