CMS Price Transparency Data

CT scan, pelvis

Facility: Glacial Ridge Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $674
Cash Discount Price: $916
vs. Medicare Baseline: 6.31x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Glacial Ridge Hospital is $674. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $916. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.31x the Medicare baseline. Located in 10 4Th Avenue Southeast, Glenwood, MN.

Cash / Self-Pay

$916

Average discount available for prompt cash payment at this facility.

Insurance Median

$674

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: $916 (858%)

Insurance Median: $674 (631%)

Cash: $916 (858% of Medicare)

Ins. Median: $674 (631% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 631% of the Medicare baseline (a markup of 531%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$320 - $674	300%
Triwest - All Plans	$391 - $654	366%
Medica Mcare Adv	$403 - $674	377%
Medica Msho	$403 - $674	377%
Medica Mcaid	$500	468%
Medica Comm - All Other Plans	$739 - $1,235	692%
Multiplan - All Plans	$947 - $1,584	887%
Preferred One Ppo - All Other Plans	$965 - $1,613	903%
Preferred One Pic/Pas	$1,283	1201%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $916.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72192.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Glacial Ridge Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72192.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.