CMS Price Transparency Data

CT scan, pelvis

Facility: Butler County Health

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $2,644
Cash Discount Price: $2,819
vs. Medicare Baseline: 24.75x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Butler County Health is $2,644. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,819. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 24.75x the Medicare baseline. Located in 372 South 9Th Street, David City, NE.

Cash / Self-Pay

$2,819

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,644

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: $2,819 (2639%)

Insurance Median: $2,644 (2475%)

Cash: $2,819 (2639% of Medicare)

Ins. Median: $2,644 (2475% 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 2475% of the Medicare baseline (a markup of 2375%). 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
UnitedHealthcare	$1,004 - $2,881	940%
Medica	$1,103 - $2,881	1033%
Humana	$1,646 - $1,793	1541%
Ambetter / Centene	$2,563 - $2,793	2400%
Blue Cross Blue Shield	$2,563 - $3,282	2400%
Multiplan	$2,563 - $2,793	2400%
Nebraska Total Care	$2,563 - $2,793	2400%
Aetna	$2,614 - $2,849	2447%
Cigna	$2,644 - $2,881	2475%
Corvel	$2,644 - $2,881	2475%
Midlands Choice	$2,644 - $2,881	2475%
Three Rivers	$2,644 - $2,881	2475%

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 $2,819.
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 Butler County Health 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.