CMS Price Transparency Data

CT scan, pelvis

Facility: High Point Regional Health System

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $621
Cash Discount Price: $739
vs. Medicare Baseline: 5.81x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at High Point Regional Health System is $621. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $739. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.81x the Medicare baseline. Located in 601 N Elm St, High Point, NC.

Cash / Self-Pay

$739

Average discount available for prompt cash payment at this facility.

Insurance Median

$621

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: $739 (692%)

Insurance Median: $621 (581%)

Cash: $739 (692% of Medicare)

Ins. Median: $621 (581% 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 581% of the Medicare baseline (a markup of 481%). 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
Amerihealth	$214 - $479	200%
Carolina Complete	$214	200%
Healthy Blue	$214	200%
Partners	$214	200%
UnitedHealthcare	$216 - $4,079	202%
Vaya	$216	202%
Wellcare	$216	202%
Alliance	$218	204%
Trillium	$221	207%
Medcost	$396 - $947	371%
Aetna	$440 - $960	412%
Oscar	$443 - $591	415%
Ambetter / Centene	$473	443%
Blue Cross Blue Shield	$500 - $803	468%
Cigna	$811	759%
Directnet	$873	817%
Private Healthcare Systems	$1,211	1134%
Multiplan	$1,329	1244%
Humana	$1,374 - $1,403	1286%

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 $739.
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 High Point Regional Health System 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.