CMS Price Transparency Data
CT scan, pelvis
Facility: Gordon Memorial Hospital District
Billing Code: 72192 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$464
about 4.3× the $107 Medicare rate · typically $142–$1,468
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $464 Cash price $264 Hospital's list price $264
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 | $127 - $248 | 119% |
| Blue Cross Blue Shieldmajor | $251 | 235% |
| Medica | $248 | 232% |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Gordon Memorial Hospital District
Compare: CT scan, pelvis at other NE hospitals
- St Francis Memorial Hospital · West Point $90
- Valley County Health System · Ord $95
- The Nebraska Medical Center · Omaha $104
- Mary Lanning Healthcare · Hastings $109
- Methodist Fremont Health · Fremont $114
- Columbus Community Hospital, Inc · Columbus $119
- Faith Regional Health Services · Norfolk $120
- Fillmore County Hospital · Geneva $124
Insurance negotiated median for the same procedure, sorted lowest first.