CMS Price Transparency Data

CT scan, pelvis

Facility: Munson Healthcare Manistee Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $118
  • Cash Discount Price: $2,327
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Munson Healthcare Manistee Hospital is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,327. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.10x the Medicare baseline. Located in 1465 E Parkdale Ave, Manistee, MI.
Cash / Self-Pay
$2,327

Average discount available for prompt cash payment at this facility.

Insurance Median
$118

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: $2,327 (2179%)
Insurance Median: $118 (110%)
Cash: $2,327 (2179% of Medicare)
Ins. Median: $118 (110% 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
Blue Cross Blue Shield $33 - $1,374 31%
Mclaren Health Plan $33 - $2,054 31%
Meridian $33 - $54 31%
Molina $33 - $125 31%
Priority Health $33 - $292 31%
UnitedHealthcare $33 - $2,464 31%
Aetna $49 - $2,366 46%
Hap (Health Alliance Plan) $49 - $2,190 46%
Humana $49 - $125 46%
Medicare (plans) $49 - $125 46%
Michigan Amish Medical Board $49 - $125 46%
Northern Michigan Mennonite Group $49 - $125 46%
Prime Health Services $49 - $2,519 46%
Wellcare Meridian $49 - $125 46%
Provider Network Of America $69 - $2,327 65%
Asr/Physicians Care $73 - $2,190 68%
Cofinity $73 - $2,409 68%
Cigna $77 - $292 72%
Nomi Health $78 - $2,190 73%
Employee Benefits Logistics $83 - $212 78%
Munson Hospice $852 - $1,917 798%
Hospice Of Michigan $1,643 1538%
Enterprise Group Planning/Employee Benefits Plan $2,190 2050%
Medical Cost Savings Solution $2,190 2050%
Three Rivers Provider Network $2,327 2179%
Multiplan $2,409 2255%
Great West Healthcare $2,464 2307%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1465 E Parkdale Ave, Manistee, MI 49660
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals