CMS Price Transparency Data

CT scan, pelvis

Facility: CHI Health Plainview Hospital

Billing Code: 72192 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$704

about 6.6× the $107 Medicare rate · typically $177–$3,128

modeled estimate · not a bill or quote

Medicare pays $107 Fair price $704 Cash price $2,700 Hospital's list price $3,214

How we calculate the fair BaseRate →

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✓ Humana AetnaCignaKaiser 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	$1,961 - $3,053	1836%
Blue Cross Blue Shieldmajor	$1,961 - $3,053	1836%
Humanamajor	$1,961	1836%
Ambetter (Centene)	$2,000 - $2,089	1872%
Amerigroup	$2,059	1928%
Medica	$1,961 - $3,085	1836%
Molina	$2,173	2034%
+ 9 smaller / regional plans	$1,961 - $4,352

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,700), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72192.

Insurance Before you use insurance

Call your insurance company to confirm CHI Health Plainview Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 72192.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at CHI Health Plainview Hospital

Compare: CT scan, pelvis at other NE hospitals

Insurance negotiated median for the same procedure, sorted lowest first.