CMS Price Transparency Data

CT scan, pelvis

Facility: Sanford Thief River Falls Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $1,369
Cash Discount Price: $1,738
vs. Medicare Baseline: 12.82x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Sanford Thief River Falls Medical Center is $1,369. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,738. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.82x the Medicare baseline. Located in 3001 Sanford Parkway, Thief River Falls, MN.

Cash / Self-Pay

$1,738

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,369

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: $1,738 (1627%)

Insurance Median: $1,369 (1282%)

Cash: $1,738 (1627% of Medicare)

Ins. Median: $1,369 (1282% 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 1282% of the Medicare baseline (a markup of 1182%). 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
Primewest	$112 - $912	105%
Ucare	$112 - $1,908	105%
Blue Cross Blue Shield	$353 - $895	330%
Sanford Health Plan Align	$825	772%
Aetna	$895 - $1,887	838%
Health Partners	$895 - $1,759	838%
Medicare (plans)	$895	838%
UnitedHealthcare	$895 - $1,814	838%
Sanford Health Plan	$1,164 - $1,369	1090%
Security Health Plan	$1,195	1119%
Medica	$1,909 - $2,055	1787%
Cigna	$1,955	1830%
First Choice Health Network	$1,955	1830%
Healthez	$1,955	1830%
Multiplan	$1,955	1830%

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 $1,738.
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 Sanford Thief River Falls Medical Center 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.