CMS Price Transparency Data

CT scan, pelvis

Facility: Covenant Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $125
  • Cash Discount Price: $1,307
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Covenant Medical Center is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,307. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.17x the Medicare baseline. Located in 1447 N Harrison, Saginaw, MI.
Cash / Self-Pay
$1,307

Average discount available for prompt cash payment at this facility.

Insurance Median
$125

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: $1,307 (1224%)
Insurance Median: $125 (117%)
Cash: $1,307 (1224% of Medicare)
Ins. Median: $125 (117% 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.

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
Health Advantage Mclaren Employee $40 - $1,027 37%
Priority Health E $40 - $859 37%
Physicians Health Plan $48 - $1,027 45%
Priority Health $48 - $1,027 45%
Aetna $49 - $1,372 46%
Blue Cross Blue Shield $49 - $216 46%
Health Alliance Plan Of Michigan $49 - $206 46%
Healthy Michigan Mclaren $49 - $125 46%
Healthy Michigan Meridian $49 - $125 46%
Healthy Michigan Molina $49 - $125 46%
Healthy Michigan Priority Health $49 - $125 46%
Humana $49 - $1,400 46%
Mclaren Advantage $49 - $125 46%
Molina Healthplan $49 - $125 46%
Physicians Health Plan Advantage/Advantage Plus $49 - $125 46%
Mclaren Health Advantage $63 - $840 59%
Meritain Health $67 - $1,428 63%
Multiplan $79 - $1,680 74%
Blue Care Network $81 - $216 76%
Cigna $1,027 962%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1447 N Harrison, Saginaw, MI 48602
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals