CMS Price Transparency Data

CT scan, pelvis

Facility: Good Samaritan Medical Center

Billing Code: 72192 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$171
about 1.6× the $107 Medicare rate · typically $126–$323
modeled estimate · not a bill or quote
What this hospital charges insurers
$175
About the fair price
about $4 over the fair price · 1.6× Medicare
Medicare pays $107 Fair price $171 This hospital $175 Cash price $182 Hospital's list price $405

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

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

Cheapest $114 Priciest $175

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

A fair price for a CT scan, pelvis is about $171 (about 1.6× the $107 Medicare rate). Good Samaritan Medical Center charges insurers about $175, or about $182 in cash — about the fair price. Located in Brockton, MA.

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 $125 117%
Blue Cross Blue Shieldmajor $125 - $280 117%
Aetnamajor $125 - $290 117%
Cignamajor $243 - $373 228%
Humanamajor $125 117%
Harvard Pilgrim $219 205%
Tufts Health Plan $318 - $373 298%
UniCare $277 259%
+ 13 smaller / regional plans $125 - $395
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 235 North Pearl Street, Brockton, MA 02301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals