CMS Price Transparency Data

CT scan, pelvis

Facility: Wentworth-Douglass Hospital

Billing Code: 72192 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$236
about 2.2× the $107 Medicare rate · typically $114–$405
modeled estimate · not a bill or quote
What this hospital charges insurers
$113
Below the fair price — a good deal
about $123 under the fair price · 1.1× Medicare
Medicare pays $107 Fair price $236 This hospital $113 Cash price $1,895 Hospital's list price $3,159

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

One of the lower prices — 7 of 8 other NH hospitals charge more for the same procedure.

Cheapest $84 Priciest $419

Black dot = this hospital, among the 9 NH 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 $236 (about 2.2× the $107 Medicare rate). Wentworth-Douglass Hospital charges insurers about $113, or about $1,895 in cash — below the fair price — a good deal. Located in Dover, NH.

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 $111 104%
Blue Cross Blue Shieldmajor $574 537%
Humanamajor $114 107%
WellSense $367 344%
+ 3 smaller / regional plans $111 - $1,987
Government programs also on file: Medicare.

Self-Pay How to get the cash price

Insurance Before you use insurance

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

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Facility Profile & Credentials

  • Address: 789 Central Ave, Dover, NH 03820
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals