CMS Price Transparency Data

CT scan, pelvis

Facility: Crossgates River Oaks Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $101
  • Cash Discount Price: $535
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Crossgates River Oaks Hospital is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $535. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.95x the Medicare baseline. Located in 350 Crossgates Blvd, Brandon, MS.
Cash / Self-Pay
$535

Average discount available for prompt cash payment at this facility.

Insurance Median
$101

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: $535 (501%)
Insurance Median: $101 (95%)
Cash: $535 (501% of Medicare)
Ins. Median: $101 (95% 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 $11 - $1,062 10%
Cigna $15 - $4,875 14%
Self Pay $21 - $1,950 20%
Trimed Billing Solutions $22 - $2,089 21%
UnitedHealthcare $22 - $2,020 21%
Ms State Hospital Of Whitfield $28 - $2,646 26%
First Choice Standard $34 - $3,203 32%
First Choice Coventry $39 - $3,621 37%
First Choice Mpcn Standard $41 - $3,830 38%
First Choice Ppo Plus $41 - $3,830 38%
Phcs $45 - $4,178 42%
Benefit Management Systems $54 - $5,919 51%
First Choice Stratose $59 - $5,571 55%
Prime Health Services $59 - $5,571 55%
American Health Group $63 - $5,919 59%
Beech Street $63 - $5,919 59%
Ibew $63 - $5,919 59%
One Health Plan $67 - $6,268 63%
Ms Dept Of Rehabilitation Services $74 - $5,166 69%
Veterans Eval Services $74 - $90 69%
Magnolia Mcd Chip $82 77%
Caresource Truecare $83 78%
Molina Chip $88 82%
Tricare $90 84%
Node Champva $94 88%
Humana $99 93%
Medicare (plans) $99 93%
Node First Choice Shared Health Of Ms Mcr Adv $99 93%
Node Vantage Health Mcr Adv $99 93%
Node Windsor Mcr Adv $99 93%
Node Magnolia Mcr Adv $100 94%
Molina $101 95%
Node Devoted Health Mcr Adv $101 95%
Node First Choice American Health Of Ms Mcr Adv $101 95%
Node Hospice Non Par Agree $101 95%
Node Va $101 95%
Aetna $102 - $400 95%
Node First Choice Wellcare Mcr Adv $103 96%
Node Healthy Mississippi Mcr Adv $111 104%
Node Us Dept Of Labor $126 118%
First Choice Preferred $152 142%
Node First Choice Occunet $152 142%
Ms Work Comp $163 153%
Prime Health Wc $163 153%
Molina Exchange $171 160%
Node Magnolia Exchange $177 166%
First Choice Lgp $220 206%
Vantage Health Commercial $227 213%
Advanced Health Systems $242 227%
Blue Cross Blue Shield $312 292%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 350 Crossgates Blvd, Brandon, MS 39042
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals