CMS Price Transparency Data

CT scan, pelvis

Facility: Howard County Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $418
Cash Discount Price: $2,618
vs. Medicare Baseline: 3.91x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Howard County Medical Center is $418. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,618. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.91x the Medicare baseline. Located in P O Box 406, 1113 Sherman St, St Paul, NE.

Cash / Self-Pay

$2,618

Average discount available for prompt cash payment at this facility.

Insurance Median

$418

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: $2,618 (2451%)

Insurance Median: $418 (391%)

Cash: $2,618 (2451% of Medicare)

Ins. Median: $418 (391% 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 391% of the Medicare baseline (a markup of 291%). 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
Medica Standard Premier	$48 - $124	45%
Aetna	$50 - $2,487	47%
Medica Elevate	$93 - $244	87%
Midland'S Choice	$98 - $256	92%
Humana	$104	97%
Blue Cross Blue Shield	$122 - $2,487	114%
Great Plains	$122 - $1,492	114%
Medica Chi	$122 - $1,492	114%
Tricare	$122 - $1,964	114%
UnitedHealthcare	$122 - $2,513	114%
Nebraska Total Care - Wellcare	$126	118%
Molina Healthcare	$128 - $1,309	120%
Oscar Health	$213	199%
Ambetter / Centene	$244	228%
Beshp	$244	228%
Nebraska Total Care	$1,309	1226%
Medica Chi Aco	$2,382	2230%
Medica Choice National	$2,382	2230%
Medica Ifb Aco	$2,513	2353%
Medica Ifb Open Access	$2,513	2353%

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 $2,618.
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 Howard County Medical Center 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.