CMS Price Transparency Data

CT scan, pelvis

Facility: Rapides Regional Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $4,707
Cash Discount Price: $10,820
vs. Medicare Baseline: 44.07x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Rapides Regional Medical Center is $4,707. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,820. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 44.07x the Medicare baseline. Located in 211 4Th Street, Alexandria, LA.

Cash / Self-Pay

$10,820

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,707

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: $10,820 (10130%)

Insurance Median: $4,707 (4407%)

Cash: $10,820 (10130% of Medicare)

Ins. Median: $4,707 (4407% 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 4407% of the Medicare baseline (a markup of 4307%). 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
Humana	$104 - $8,115	97%
Blue Cross Blue Shield	$242	227%
United	$245 - $2,424	229%
Cigna	$1,672	1565%
Aetna	$1,953	1828%
Verity	$3,246	3039%
Ppo Plus	$4,111	3849%
Louisiana Workers Compensation Corporation	$5,302	4964%
Gilsbar 360	$5,734	5368%
Multiplan	$5,864 - $6,286	5490%
Dma Regional Ppo	$7,574	7091%
Employers Health Network	$7,574	7091%
First Health	$7,574	7091%
Healthsouth Corporation	$7,574	7091%
Plan Vista Solutions (Nppn)	$8,439	7901%
Bestcomp	$8,764	8205%

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 $10,820.
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 Rapides 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.