CMS Price Transparency Data

CT scan, pelvis

Facility: Womans Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $1,639
Cash Discount Price: $2,049
vs. Medicare Baseline: 15.35x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Womans Hospital is $1,639. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,049. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 15.35x the Medicare baseline. Located in 100 Woman's Way, Baton Rouge, LA.

Cash / Self-Pay

$2,049

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,639

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: $2,049 (1918%)

Insurance Median: $1,639 (1535%)

Cash: $2,049 (1918% of Medicare)

Ins. Median: $1,639 (1535% 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 1535% of the Medicare baseline (a markup of 1435%). 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
Webtpa [100127]	$1,229 - $1,608	1151%
Fmolhs Employees [100257]	$1,434	1343%
UnitedHealthcare	$1,516 - $1,639	1419%
Blue Cross Blue Shield	$1,608	1505%
La Women'S Healthcare [100265]	$1,608	1505%
Verity [100266]	$1,608	1505%
Aetna	$1,639 - $1,926	1535%
Cigna	$1,639 - $1,701	1535%
Coventry [100010]	$1,639	1535%
Ppo Plus [100259]	$1,639	1535%
Beech Street [100260]	$1,742	1631%
Multiplan [100258]	$1,803	1688%
Private Health [100261]	$1,803	1688%
Humana	$1,926	1803%
Meritain [100063]	$1,926	1803%

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 $2,049.
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 Womans Hospital 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.