CMS Price Transparency Data

CT scan, pelvis

Facility: Kearney County Health Services Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $1,802
Cash Discount Price: $1,887
vs. Medicare Baseline: 16.87x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Kearney County Health Services Hospital is $1,802. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,887. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 16.87x the Medicare baseline. Located in 727 East 1St St, Minden, NE.

Cash / Self-Pay

$1,887

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,802

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: $1,887 (1767%)

Insurance Median: $1,802 (1687%)

Cash: $1,887 (1767% of Medicare)

Ins. Median: $1,802 (1687% 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 1687% of the Medicare baseline (a markup of 1587%). 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	$1,180 - $1,297	1105%
Medica	$1,180 - $4,624	1105%
Humana	$1,297	1214%
UnitedHealthcare	$1,297 - $2,241	1214%
Total Care	$1,310 - $1,336	1226%
Aetna	$1,362 - $4,482	1275%
Great Plains	$1,362	1275%
Healthy Blue	$1,362	1275%
Multiplan	$2,312	2165%
Healthnet	$2,359	2209%
Triwest	$2,359	2209%
Molina	$2,430	2275%
Private Healthcare Systems And Multiplan	$3,879	3632%

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 $1,887.
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 Kearney County Health Services 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.