CMS Price Transparency Data
CT scan, pelvis
Facility: CHI St Alexius Health Devils Lake
Billing Code: 72192 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$445
about 4.2× the $107 Medicare rate · typically $131–$1,331
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $445 Cash price $1,185 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 | $1,094 - $1,496 | 1024% |
| HealthPartners | $2,681 | 2510% |
| Medica | $1,072 - $2,596 | 1004% |
| Sanford Health Plan | $2,032 | 1902% |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Enter your details and press estimate to compare.
Other Procedures at CHI St Alexius Health Devils Lake
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.