CMS Price Transparency Data

CT scan, pelvis

Facility: Belton Regional Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $458
  • Cash Discount Price: $9,195
  • vs. Medicare Baseline: 4.29x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Belton Regional Medical Center is $458. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,195. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.29x the Medicare baseline. Located in 17065 S 71 Highway, Belton, MO.
Cash / Self-Pay
$9,195

Average discount available for prompt cash payment at this facility.

Insurance Median
$458

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: $9,195 (8609%)
Insurance Median: $458 (429%)
Cash: $9,195 (8609% of Medicare)
Ins. Median: $458 (429% 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 429% of the Medicare baseline (a markup of 329%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

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

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
United $60 - $4,138 56%
Healthyblue $61 57%
Aetna $62 - $4,690 58%
Amerigroup $62 58%
Medicaid / KanCare $62 58%
Unicare $62 58%
Home State Health Plan $64 60%
Multiplan $119 - $6,804 111%
Cigna $122 - $181 114%
Corvel Corporation $142 - $5,977 133%
Oha Network $148 - $4,598 139%
Blue Cross Blue Shield $303 - $3,770 284%
Humana $343 - $442 321%
Ambetter / Centene $1,710 1601%
Nhc Advantage $1,747 1636%
Wppa Providrs Care Network $1,839 1722%
Universal Healthcare $3,218 3013%
Coventry $3,696 3460%
Coventry Kc Mo $3,770 3530%
College Park Family Care Center $3,954 3702%
Cco, Inc. $7,816 7318%
Focus Healthcare Mgmt, Inc $8,276 7748%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 17065 S 71 Highway, Belton, MO 64012
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals