CMS Price Transparency Data

CT scan, pelvis

Facility: Ste Genevieve County Memorial Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $598
Cash Discount Price: $627
vs. Medicare Baseline: 5.60x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Ste Genevieve County Memorial Hospital is $598. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $627. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.60x the Medicare baseline. Located in Hwys 61 & 32, Sainte Genevieve, MO.

Cash / Self-Pay

$627

Average discount available for prompt cash payment at this facility.

Insurance Median

$598

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: $627 (587%)

Insurance Median: $598 (560%)

Cash: $627 (587% of Medicare)

Ins. Median: $598 (560% 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 560% of the Medicare baseline (a markup of 460%). 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
Blue Cross Blue Shield	$29 - $2,589	27%
Medicare (plans)	$29 - $598	27%
Va	$29 - $598	27%
Aetna	$30 - $1,840	28%
Allwell	$30 - $609	28%
Pphp	$34 - $687	32%
Ambetter / Centene	$37 - $747	35%
Meritain	$90 - $1,840	84%
Multiplan/Phcs	$99 - $2,032	93%
Medicaid / KanCare	$148	139%
Homestate	$154	144%
Healthy_Blue	$178	167%
Uhc_Community	$178	167%
Healthlink_Hmo	$439 - $860	411%
UnitedHealthcare	$452 - $1,195	423%
Healthlink_Compmanagement	$468 - $917	438%
Healthlink_Ppo	$468 - $917	438%
Cigna	$1,960	1835%

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 $627.
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 Ste Genevieve County Memorial Hospital 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.