CMS Price Transparency Data

CT scan, pelvis

Facility: Memorial Hospital at Gulfport

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $206
Cash Discount Price: $3,961
vs. Medicare Baseline: 1.93x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Memorial Hospital at Gulfport is $206. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,961. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.93x the Medicare baseline. Located in 4500 13Th Street, Gulfport, MS.

Cash / Self-Pay

$3,961

Average discount available for prompt cash payment at this facility.

Insurance Median

$206

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: $3,961 (3708%)

Insurance Median: $206 (193%)

Cash: $3,961 (3708% of Medicare)

Ins. Median: $206 (193% 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.

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
UnitedHealthcare	$81 - $2,569	76%
Magnolia Health	$83 - $141	78%
Molina	$84 - $150	79%
Blue Cross Blue Shield	$100 - $4,526	94%
Humana	$102 - $4,074	95%
Cigna	$161 - $3,395	151%
Aetna	$172	161%
Fox Everett	$183	171%
First Choice	$206 - $4,074	193%
Sas Non-Mhg	$206	193%
Mhg	$217	203%
Primewell	$225	211%
Sas Mhg	$849 - $3,451	795%
First Health	$4,074	3814%
Mpcn	$4,244	3973%

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 $3,961.
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 Memorial Hospital at Gulfport 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.