CMS Price Transparency Data

CT scan, pelvis

Facility: Mercy Hospital Stoddard

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $162
  • Cash Discount Price: $1,169
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Mercy Hospital Stoddard is $162. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,169. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.52x the Medicare baseline. Located in 1200 N One Mile Rd, Dexter, MO.
Cash / Self-Pay
$1,169

Average discount available for prompt cash payment at this facility.

Insurance Median
$162

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: $1,169 (1094%)
Insurance Median: $162 (152%)
Cash: $1,169 (1094% of Medicare)
Ins. Median: $162 (152% 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
Medicaid / KanCare $91 - $1,798 85%
Acentra Health Contracted [320527] $94 88%
Aetna $94 - $1,348 88%
Blue Cross Blue Shield $94 - $1,618 88%
Cross Timbers Hospice [20098] $94 88%
Dept Of Veteran Affairs Contracted [320106] $94 88%
Elara Caring Aspire Hospice Contracted [320433] $94 88%
Elara Caring Aspire Hospice [20433] $94 88%
Halo Hcr Inc Hospice Contracted [320432] $94 88%
Halo Hcr Inc Hospice [20432] $94 88%
Humana $94 88%
Kindful Hospice Contracted [320434] $94 88%
Kindful Hospice [20434] $94 88%
Medicare (plans) $94 - $100 88%
Mercy Hospice Okc [20252] $94 88%
Pace Of The Ozarks Contracted [320518] $94 88%
Tricare $94 88%
UnitedHealthcare $94 - $686 88%
Ambetter / Centene $96 90%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $96 90%
Home State Health Plan Contracted [320187] $96 90%
Hope Trust Contracted [320488] $96 90%
Provider Partners Health Plans Contracted [320450] $109 102%
Consociate Consolidated Health Contracted [320490] $132 - $213 124%
Auxiant Contracted [320462] $159 - $193 149%
Ebms Contracted [320493] $159 149%
Healthlink Contracted [320179] $159 - $1,438 149%
Imagine 360 Contracted [320494] $159 149%
Mercy Benefit Admin Contracted [320251] $159 - $1,223 149%
Reflect Health Contracted [320492] $165 154%
Preferred Health Plan Contracted [320522] $169 158%
Cigna $365 342%
United Medical Resources Contracted [320454] $686 642%
Health Alliance Contracted [320164] $1,169 1094%
Aither Health Contracted [320449] $1,223 1145%
Edison Health Solutions Contracted [320502] $1,223 1145%
Mercy Benefit Admin [20251] $1,223 1145%
Yuzu Health Contracted [320521] $1,223 1145%
First Health Contracted [320128] $1,348 1262%
Workers Comp [20426] $1,348 - $1,438 1262%
Multiplan Contracted [320270] $1,438 1346%
Private Health Care Systems Contracted [320320] $1,438 1346%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 N One Mile Rd, Dexter, MO 63841
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals