CMS Price Transparency Data
CT scan, pelvis
Facility: Lisbon Area Health Services
Billing Code: 72192 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$421
about 3.9× the $107 Medicare rate · typically $114–$1,195
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $421 Cash price $1,580 Hospital's list price $2,822
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $2,060 - $2,342 | 1929% |
| Blue Cross Blue Shieldmajor | $1,468 - $2,004 | 1374% |
| HealthPartners | $2,681 | 2510% |
| Medica | $1,439 - $2,709 | 1347% |
| Sanford Health Plan | $2,568 | 2404% |
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Other Procedures at Lisbon Area Health Services
Compare: CT scan, pelvis at other ND hospitals
- PAM Rehabilitation Hospital of Fargo · Fargo $102
- Essentia Health · Fargo $106
- Trinity Hospitals · Minot $107
- Sanford Medical Center Fargo · Fargo $112
- Sanford Medical Center Bismarck · Bismarck $112
- Altru Hospital · Grand Forks $139
- CHI St Alexius Health · Bismarck $205
- CHI St Alexius Health Williston · Williston $524
Insurance negotiated median for the same procedure, sorted lowest first.