CMS Price Transparency Data

CT scan, pelvis

Facility: Nebraska Orthopaedic Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $886
Cash Discount Price: Unavailable
vs. Medicare Baseline: 8.30x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Nebraska Orthopaedic Hospital is $886. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.30x the Medicare baseline. Located in 2808 South 143Rd Plaza, Omaha, NE.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$886

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%)

Insurance Median: $886 (830%)

Ins. Median: $886 (830% 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 830% of the Medicare baseline (a markup of 730%). 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
Amerigroup	$30	28%
Aetna	$101 - $250	95%
Blue Cross Blue Shield	$104 - $1,205	97%
Humana	$104 - $1,528	97%
UnitedHealthcare	$104 - $1,708	97%
Paramount Group - Wellcare	$105 - $886	98%
Immanuel Pathways	$106	99%
Allied	$135	126%
Ambetter / Centene	$155 - $886	145%
Carrum Health	$155 - $157	145%
Partners Health Alliance	$155	145%
Total Care	$155	145%
Midlands Choice	$744 - $1,007	697%
Midwest Network	$992 - $1,007	929%
Self Pay	$1,151 - $1,169	1078%
Multiplan	$1,594 - $1,618	1492%
Assist Health Imaging	$3,011 - $3,057	2819%

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 $X.
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 Nebraska Orthopaedic Hospital 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.