CMS Price Transparency Data

CT scan, pelvis

Facility: Columbus Regional Healthcare System

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $1,144
Cash Discount Price: $1,348
vs. Medicare Baseline: 10.71x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Columbus Regional Healthcare System is $1,144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,348. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.71x the Medicare baseline. Located in 500 Jefferson St, Whiteville, NC.

Cash / Self-Pay

$1,348

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,144

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: $1,348 (1262%)

Insurance Median: $1,144 (1071%)

Cash: $1,348 (1262% of Medicare)

Ins. Median: $1,144 (1071% 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 1071% of the Medicare baseline (a markup of 971%). 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	$100 - $1,236	94%
Troy	$100	94%
UnitedHealthcare	$100 - $1,309	94%
Va Communicare Care	$100	94%
Wellcare	$100 - $430	94%
Vaya Health	$101	95%
Liberty	$102	95%
Aetna	$103 - $1,868	96%
Humana	$103	96%
Devoted Health	$104	97%
Cigna	$105 - $1,829	98%
Molina	$355 - $494	332%
Alliance	$430	403%
Amerihealth	$430	403%
Apex Health	$430	403%
Cardinal	$430	403%
Carolina Complete Health	$430	403%
Healthy Blue	$430	403%
Partners	$430	403%
Sandhills	$430	403%
Trillium	$430	403%
Queens University	$1,059	991%
Ambetter / Centene	$1,121 - $1,304	1050%
Oscar	$1,252 - $1,406	1172%
Employers Health Network	$1,277 - $1,427	1196%
Quicktrip	$1,540	1442%
Multiplan	$1,733 - $1,829	1623%
Choicecare	$1,829	1712%
Healthgram	$1,829	1712%
Medcost	$1,829	1712%

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 $1,348.
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 Columbus Regional Healthcare 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.