CMS Price Transparency Data

CT scan, pelvis

Facility: Childrens Hospital

Billing Code: 72192 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$325

about 3.0× the $107 Medicare rate · typically $101–$352

modeled estimate · not a bill or quote

What this hospital charges insurers

$324

About the fair price

about $1 under the fair price · 3.0× Medicare

Medicare pays $107 Fair price $325 This hospital $324 Cash price $120 Hospital's list price $446

How we calculate the fair BaseRate →

How this hospital compares to other LA hospitals

Highest price of the 9 LA hospitals we have prices for — worth calling around.

Cheapest $81 Priciest $324

Black dot = this hospital, among the 9 LA hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, pelvis is about $325 (about 3.0× the $107 Medicare rate). Childrens Hospital charges insurers about $324, or about $120 in cash — about the fair price. Located in New Orleans, LA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$176 - $1,684	165%
Blue Cross Blue Shieldmajor	$182 - $1,308	170%
Aetnamajor	$1,189 - $1,661	1113%
Cignamajor	$1,684 - $1,788	1577%
Humanamajor	$1,783	1669%
Ambetter (Centene)	$84 - $1,252	79%
CDPHP	$971 - $1,684	909%
Harvard Pilgrim	$1,007 - $1,339	943%
Tufts Health Plan	$1,217 - $1,220	1139%
UniCare	$623	583%
+ 8 smaller / regional plans	$1,205 - $1,783

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 120), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72192.

Insurance Before you use insurance

Call your insurance company to confirm Childrens Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 72192.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Childrens Hospital

Compare: CT scan, pelvis at other LA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.