CMS Price Transparency Data

CT scan, pelvis

Facility: Wyandotte Hospital and Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $51
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.48x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Wyandotte Hospital and Medical Center is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.48x the Medicare baseline. Located in 2333 Biddle Ave, Wyandotte, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$51

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%)
Insurance Median: $51 (48%)
Ins. Median: $51 (48% 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
Aetna $33 - $591 31%
Amerihealth Michigan $33 - $102 31%
Mclaren Health Plan Inc. $33 - $51 31%
Meridian $33 - $51 31%
Priority $34 - $51 32%
Molina $35 - $141 33%
Hap $43 - $210 40%
Mclaren $43 40%
Meridian Health Plan Of Mi $43 - $135 40%
Priority Health $43 - $323 40%
Humana $48 - $106 45%
Pace Se Mi $48 45%
Bcn $51 - $104 48%
Blue Cross Blue Shield $51 - $198 48%
Cca Health Mi $51 48%
Health Alliance Plan Of Michigan $51 48%
Mount Carmel Health Plan $51 - $104 48%
United Behavioral Health, Inc. $51 48%
UnitedHealthcare $51 - $1,232 48%
Wellcare Ma $51 48%
Vitalcore Physicians Group Of Mi $66 - $240 62%
Cigna $72 - $877 67%
Cofinity $82 77%
Pace Of Se Mi $99 93%
Cca Health Michigan $104 97%
Erickson $104 97%
Hap Caresource $104 97%
Mclaren Health $104 - $552 97%
Molina Mi Health Link $104 97%
Wellcare $105 98%
Cofinity Group Health $479 - $711 448%
Multiplan, Inc. $872 816%
University Of Michigan $1,041 975%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2333 Biddle Ave, Wyandotte, MI 48192
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals