CMS Price Transparency Data

CT scan, pelvis

Facility: Portsmouth Regional Hospital

Billing Code: 72192 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$377

about 3.5× the $107 Medicare rate · typically $117–$463

modeled estimate · not a bill or quote

What this hospital charges insurers

$419

About the fair price

about $42 over the fair price · 3.9× Medicare

Medicare pays $107 Fair price $377 This hospital $419 Cash price $6,162 Hospital's list price $6,162

How we calculate the fair BaseRate →

How this hospital compares to other NH hospitals

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

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 $377 (about 3.5× the $107 Medicare rate). Portsmouth Regional Hospital charges insurers about $419, or about $6,162 in cash — about the fair price. Located in Portsmouth, 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✓ 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	$1,584 - $4,067	1483%
Blue Cross Blue Shieldmajor	$216 - $2,730	202%
Aetnamajor	$3,901	3652%
AmeriHealth	$254	238%
Harvard Pilgrim	$387 - $484	362%
Tufts Health Plan	$2,317 - $3,525	2169%
+ 6 smaller / regional plans	$504 - $5,854

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 6,162), 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 Portsmouth Regional 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 Portsmouth Regional Hospital

Compare: CT scan, pelvis at other NH hospitals

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