CMS Price Transparency Data

CT scan, pelvis

Facility: Charlevoix Area Hospital

Billing Code: 72192 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$80
about 0.7× the $107 Medicare rate · typically $76–$173
modeled estimate · not a bill or quote
What this hospital charges insurers
$76
About the fair price
about $4 under the fair price · 0.7× Medicare
Medicare pays $107 Fair price $80 This hospital $76 Cash price $924 Hospital's list price $1,088

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 $76

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 $80 (about 0.7× the $107 Medicare rate). Charlevoix Area Hospital charges insurers about $76, or about $924 in cash — about the fair price. Located in Charlevoix, MI.

What each insurance company pays

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

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $33 - $945 31%
Blue Cross Blue Shieldmajor $33 - $1,005 31%
Aetnamajor $49 - $982 46%
Cignamajor $77 - $1,088 72%
Meridian $33 - $74 31%
Molina $49 - $552 46%
Priority Health $33 - $1,088 31%
+ 13 smaller / regional plans $33 - $1,034
Government programs also on file: Medicare, Military & VA.
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 14700 Lakeshore Drive, Charlevoix, MI 49720
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals