CMS Price Transparency Data

CT scan, pelvis

Facility: Central Montana Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $1,850
Cash Discount Price: $1,080
vs. Medicare Baseline: 17.32x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Central Montana Medical Center is $1,850. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,080. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 17.32x the Medicare baseline. Located in 408 Wendell Ave, Lewistown, MT.

Cash / Self-Pay

$1,080

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,850

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: $1,080 (1011%)

Insurance Median: $1,850 (1732%)

Cash: $1,080 (1011% of Medicare)

Ins. Median: $1,850 (1732% 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 1732% of the Medicare baseline (a markup of 1632%). 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	$49 - $3,438	46%
Humana	$49 - $2,063	46%
Triwest - All Plans	$49 - $2,025	46%
Veterans Affairs - All Plans	$49 - $2,025	46%
Montana Health Co-Op - All Plans	$84 - $3,705	79%
Allegiance Comm - All Other Plans	$87 - $3,667	81%
Allegiance Rbphp	$87 - $6,914	81%
Health Infonet - All Plans	$89 - $3,667	83%
Ebms - All Plans	$92 - $3,629	86%
Coventry/First Health - All Plans	$1,831 - $3,553	1714%
UnitedHealthcare	$1,831 - $3,553	1714%
Interwest Ppo	$1,929 - $3,744	1806%
Pacific Source Hp - All Plans	$1,929 - $3,744	1806%
Interwest Trad - All Other Plans	$1,968 - $3,820	1843%

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 $1,080.
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 Central Montana Medical Center 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.