CMS Price Transparency Data

CT scan, pelvis

Facility: Mercy Health Saint Mary's

Billing Code: 72192 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$151

about 1.4× the $107 Medicare rate · typically $109–$278

modeled estimate · not a bill or quote

What this hospital charges insurers

$134

Below the fair price — a good deal

about $17 under the fair price · 1.3× Medicare

Medicare pays $107 Fair price $151 This hospital $134 Cash price $892 Hospital's list price $1,372

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $48 Priciest $134

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, pelvis is about $151 (about 1.4× the $107 Medicare rate). Mercy Health Saint Mary's charges insurers about $134, or about $892 in cash — below the fair price — a good deal. Located in Grand Rapids, MI.

What each insurance company pays

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

6 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	$107 - $1,372	100%
Blue Cross Blue Shieldmajor	$58 - $134	54%
Aetnamajor	$102 - $1,087	95%
Cignamajor	$1,001	937%
Humanamajor	$1,044 - $1,372	977%
Kaiser Permanentemajor	$134	125%
AmeriHealth	$1,044	977%
CareSource	$896	839%
Dean Health Plan	$1,002	938%
GEHA	$104 - $1,043	97%
Medical Mutual	$104	97%
Molina	$135	126%
MVP Health Care	$1,002	938%
Oscar Health	$133	125%
Paramount	$1,002	938%
Priority Health	$346 - $433	324%
UniCare	$1,044	977%
+ 144 smaller / regional plans	$73 - $1,372

Government programs also on file: Medicare, Medicaid.

Excludes 9 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 892), 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 Mercy Health Saint Mary's 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 Mercy Health Saint Mary's

Compare: CT scan, pelvis at other MI hospitals

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