CT scan, pelvis
Facility: Liberty Hospital
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $212
- Cash Discount Price: $655
- vs. Medicare Baseline: 1.98x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
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 | $54 - $1,840 | 51% |
| Aetna | $98 - $1,503 | 92% |
| Cigna | $98 | 92% |
| UnitedHealthcare | $98 - $169 | 92% |
| Medicare (plans) | $99 - $107 | 93% |
| Humana | $100 | 94% |
| Healthy Blue | $105 | 98% |
| Ambetter / Centene | $124 | 116% |
| Home State Health | $143 | 134% |
| Fox Everett | $1,390 - $1,396 | 1301% |
| Phcs | $1,737 - $1,744 | 1626% |
| Multiplan | $1,922 - $1,931 | 1799% |
Consumer Guidance & Cost Commentary
For a CT scan of the pelvis at Liberty Hospital, the cash median price is $655, which is significantly lower than the facility's gross charge of $2,321. This cash rate is notably lower than the national average for this procedure. While the facility's negotiated rates range from $54 to $1,931 depending on the specific insurance plan, patients with high-deductible plans may find paying cash upfront more beneficial if their insurance negotiated rate exceeds $655. Liberty Hospital is a voluntary non-profit private acute care hospital located in Liberty, Missouri, and offers prompt-pay discounts that can further reduce the final bill if paid in full within a short window.
Insurance coverage varies widely, with some plans like Blue Cross Blue Shield having high-end rates up to $1,840, while others such as Cigna and Healthy Blue have fixed rates of $98. It is important to note that the median negotiated rate across all payers is $212, yet individual plan rates can be much higher due to deductible status and network tiering. Although the Medicare amount for this service is $106.81, commercial rates often exceed this benchmark, and patients should verify their specific allowed amounts before scheduling. To avoid unexpected costs, consumers should request a self-pay classification and a prompt-pay discount before check-in, rather than waiting for an insurance bill to arrive, which can sometimes result in higher charges if the insurance submission process is triggered automatically.