CMS Price Transparency Data

CT scan, pelvis

Facility: Byrd Regional Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $3,232
  • Cash Discount Price: $1,640
  • vs. Medicare Baseline: 30.26x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Byrd Regional Hospital is $3,232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,640. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 30.26x the Medicare baseline. Located in 1020 Fertitta Blvd, Leesville, LA.
Cash / Self-Pay
$1,640

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,232

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: $1,640 (1535%)
Insurance Median: $3,232 (3026%)
Cash: $1,640 (1535% of Medicare)
Ins. Median: $3,232 (3026% 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 3026% of the Medicare baseline (a markup of 2926%). 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
Aetna $108 - $5,468 101%
Coventry Healthcare Of La $108 - $3,264 101%
Blue Cross Blue Shield $194 182%
Amerihealth Caritas $710 - $774 665%
Correct Care Int Hth $710 - $774 665%
Healthy Blue $710 - $774 665%
La Healthcare Conn Mdcaid $710 - $774 665%
Medicaid / KanCare $710 - $774 665%
UnitedHealthcare $710 - $5,468 665%
Humana $781 - $852 731%
Self Pay $1,640 1535%
Cigna $3,232 - $3,478 3026%
Verity Health $3,828 3584%
Us Dept Of Labor $4,921 4607%
Workers Comp $4,921 4607%
Aflac $5,468 5119%
American Health Advantage $5,468 5119%
Amfirst $5,468 5119%
Hospice Of Leesville $5,468 5119%
Industrial $5,468 5119%
Misc Comm $5,468 5119%
Mischmoppo $5,468 5119%
Mutual Of Omaha $5,468 5119%
Mva $5,468 5119%
Phcs Private Health $5,468 5119%
Physicans Mutual $5,468 5119%
State Farm Insurance $5,468 5119%
Sterling $5,468 5119%
Stonetrust $5,468 5119%
Tri Parish Rehab $5,468 5119%
United Teacher Asso $5,468 5119%
Web Tpa $5,468 5119%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1020 Fertitta Blvd, Leesville, LA 71446
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals