CMS Price Transparency Data

CT scan, pelvis

Facility: West Holt Memorial Hospital

Billing Code: 72192 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$463
about 4.3× the $107 Medicare rate · typically $137–$1,467
modeled estimate · not a bill or quote
What this hospital charges insurers
$177
Below the fair price — a good deal
about $286 under the fair price · 1.7× Medicare
Medicare pays $107 Fair price $463 This hospital $177 Cash price $2,126 Hospital's list price $2,657

How we calculate the fair BaseRate →

How this hospital compares to other NE hospitals

Highest price of the 9 NE hospitals we have prices for — worth calling around.

Cheapest $90 Priciest $177

Black dot = this hospital, among the 9 NE hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, pelvis is about $463 (about 4.3× the $107 Medicare rate). West Holt Memorial Hospital charges insurers about $177, or about $2,126 in cash — below the fair price — a good deal. Located in Atkinson, NE.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $184 - $1,568 172%
Blue Cross Blue Shieldmajor $2,551 2388%
Aetnamajor $2,498 2339%
Ambetter (Centene) $1,355 1269%
Medica $2,418 2264%
Molina $1,461 1368%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 406 W Neely St, Atkinson, NE 68713
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals