CMS Price Transparency Data

CT scan, pelvis

Facility: Parkland Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $825
Cash Discount Price: $7,803
vs. Medicare Baseline: 7.72x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Parkland Medical Center is $825. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,803. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.72x the Medicare baseline. Located in 1 Parkland Drive, Derry, NH.

Cash / Self-Pay

$7,803

Average discount available for prompt cash payment at this facility.

Insurance Median

$825

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: $7,803 (7305%)

Insurance Median: $825 (772%)

Cash: $7,803 (7305% of Medicare)

Ins. Median: $825 (772% 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 772% of the Medicare baseline (a markup of 672%). 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
Amerihealth Caritas	$241	226%
Blue Cross Blue Shield	$260 - $825	243%
Harvard Pilgrim	$361 - $3,512	338%
Well Sense Health Plan	$584	547%
United	$1,639 - $4,737	1535%
Maine Community Health	$2,440 - $4,135	2284%
Tufts Health Plan	$4,463 - $4,598	4178%
Aetna	$4,643 - $5,213	4347%
Corvel	$5,618	5260%
Evernorth	$6,243	5845%
Healthcare Value Mgmt	$6,555	6137%
First Health	$6,633	6210%
Oxford Health Plans	$7,413	6940%

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 $7,803.
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 Parkland 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.