CMS Price Transparency Data

CT scan, pelvis

Facility: Centerpoint Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $2,113
Cash Discount Price: $10,264
vs. Medicare Baseline: 19.78x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Centerpoint Medical Center is $2,113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,264. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.78x the Medicare baseline. Located in 19600 East 39Th Street, Independence, MO.

Cash / Self-Pay

$10,264

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,113

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: $10,264 (9610%)

Insurance Median: $2,113 (1978%)

Cash: $10,264 (9610% of Medicare)

Ins. Median: $2,113 (1978% 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 1978% of the Medicare baseline (a markup of 1878%). 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
Global Sports Services	$25	23%
United	$60 - $4,753	56%
Healthyblue	$61	57%
Amerigroup	$62	58%
Medicaid / KanCare	$62	58%
Unicare	$62	58%
Home State Health Plan	$63	59%
Aetna	$97 - $5,387	91%
Multiplan	$119 - $7,816	111%
Cigna	$122 - $8,450	114%
Corvel Corporation	$142 - $6,866	133%
Oha Network	$148 - $5,281	139%
Blue Cross Blue Shield	$303 - $4,859	284%
Humana	$343 - $442	321%
Ambetter / Centene	$1,853 - $1,965	1735%
Nhc Advantage	$1,893 - $2,007	1772%
Wppa Providrs Care Network	$1,993 - $2,113	1866%
Universal Healthcare	$3,488 - $3,697	3266%
Coventry	$4,006 - $4,246	3751%
Coventry Kc Mo	$4,086 - $4,331	3825%
College Park Family Care Center	$4,285 - $4,542	4012%
Cco, Inc.	$8,470 - $8,978	7930%
Focus Healthcare Mgmt, Inc	$8,968 - $9,507	8396%

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 $10,264.
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 Centerpoint 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.