CMS Price Transparency Data

CT scan, pelvis

Facility: Northern Louisiana Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $3,723
  • Cash Discount Price: $2,048
  • vs. Medicare Baseline: 34.86x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Northern Louisiana Medical Center is $3,723. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,048. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 34.86x the Medicare baseline. Located in 401 East Vaughn Avenue, Ruston, LA.
Cash / Self-Pay
$2,048

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,723

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: $2,048 (1917%)
Insurance Median: $3,723 (3486%)
Cash: $2,048 (1917% of Medicare)
Ins. Median: $3,723 (3486% 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 3486% of the Medicare baseline (a markup of 3386%). 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.

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 $226 - $532 212%
UnitedHealthcare $278 - $2,238 260%
Aetna $532 - $2,234 498%
Medicaid / KanCare $532 - $3,723 498%
Humana $586 549%
Golden Rule Ins $1,392 - $2,238 1303%
First Health $1,600 - $3,165 1498%
Verity Healthnet $1,824 1708%
Cigna $1,862 1743%
Kaiser Permanente $1,862 1743%
Gilsbar $2,048 1917%
Self Pay $2,048 1917%
Geha $2,978 - $3,537 2788%
Multiplan $3,165 2963%
Phcs $3,165 2963%
Work Comp City Of Ruston $3,351 3137%
Work Comp First Health $3,351 3137%
Work Comp Nlmc Emp $3,351 3137%
Workers Compensation $3,351 3137%
Aarp $3,723 3486%
Aflc American Family Life $3,723 3486%
American Life Accident $3,723 3486%
Apwu Health Plan $3,723 3486%
Bankers Life And Casualty $3,723 3486%
Benefit Trust Life $3,723 3486%
Crime Victims Compensatio $3,723 3486%
Equitable $3,723 3486%
Fox Everett Inc $3,723 3486%
Gmp Employers Retiree Tru $3,723 3486%
Gsu Athletics $3,723 3486%
Guarantee Trust Life Ins $3,723 3486%
Healthfirst Tpa $3,723 3486%
Hospice Of Caring Hearts $3,723 3486%
Ima Insurance $3,723 3486%
Industrial Accounts $3,723 3486%
Liberty Healthshare $3,723 3486%
Liberty Mutual Group $3,723 3486%
Lifecare Specialty Hosp $3,723 3486%
Lin Parish Detention $3,723 3486%
Lincoln Kidney Center $3,723 3486%
Ltu Athletics $3,723 3486%
Ltu Student Ins Bollinger $3,723 3486%
Mcr American Hlth Adv $3,723 3486%
Misc Commercial $3,723 3486%
Mva Insurance Payors $3,723 3486%
Nalc Health Benefit Plan $3,723 3486%
Nalc Natl Assoc Ltr Carri $3,723 3486%
Newera $3,723 3486%
Nlmc Community Services $3,723 3486%
Physicians Mutual Ins $3,723 3486%
Premier Hospice $3,723 3486%
Principal Mutual Life Ins $3,723 3486%
Protective Life Ins $3,723 3486%
Ruston Regional Specialty $3,723 3486%
Specialty Hosp Of Winnfie $3,723 3486%
State Farm Insurance $3,723 3486%
State Mutual Ins $3,723 3486%
Sterling Investors Life $3,723 3486%
The Hartford $3,723 3486%
Union Bankers Insurance C $3,723 3486%
Union Fidelity Life Ins $3,723 3486%
United American $3,723 3486%
United Teachers Ins $3,723 3486%
Us Dept Of Labor $3,723 3486%
Washington National Ins $3,723 3486%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Vaughn Avenue, Ruston, LA 71270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals