CMS Price Transparency Data

CT scan, pelvis

Facility: Leonard J Chabert Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $148
Cash Discount Price: $253
vs. Medicare Baseline: 1.39x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Leonard J Chabert Medical Center is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $253. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.39x the Medicare baseline. Located in 1978 Industrial Blvd, Houma, LA.

Cash / Self-Pay

$253

Average discount available for prompt cash payment at this facility.

Insurance Median

$148

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: $253 (237%)

Insurance Median: $148 (139%)

Cash: $253 (237% of Medicare)

Ins. Median: $148 (139% 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.

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
Tricare	$38 - $40	36%
Medicaid / KanCare	$81	76%
Aetna	$98 - $600	92%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$98	92%
Blue Cross Blue Shield	$98 - $492	92%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$98	92%
Medicare (plans)	$98	92%
Ochsner Health Plan	$98	92%
UnitedHealthcare	$98 - $243	92%
Healthy Blue (Healthy Louisiana)	$144	135%
Humana	$144	135%
Louisiana Healthcare Connections (Healthy Louisiana)	$144	135%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$148	139%
Zelis	$264	247%
Verity Commercial And First Choice Network	$307	287%
Claritev D/B/A Multiplan/Phcs/American Life Care	$404	378%
Louisiana Workers' Compensation Corporation (Lwcc)	$404	378%
First Health Network	$431	404%
Healthcomp & Personify Health (Formerly Gilsbar)	$442	414%
Usa Managed Care Network	$458	429%
Cigna	$586	549%

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 $253.
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 Leonard J Chabert 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.