CMS Price Transparency Data

CT scan, pelvis

Facility: Alta Vista Regional Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $1,954
Cash Discount Price: $1,563
vs. Medicare Baseline: 18.29x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Alta Vista Regional Hospital is $1,954. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,563. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.29x the Medicare baseline. Located in 104 Legion Drive, Las Vegas, NM.

Cash / Self-Pay

$1,563

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,954

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: $1,563 (1463%)

Insurance Median: $1,954 (1829%)

Cash: $1,563 (1463% of Medicare)

Ins. Median: $1,954 (1829% 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 1829% of the Medicare baseline (a markup of 1729%). 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
Commercial Hmo Ppo	$191 - $3,126	179%
Medicaid / KanCare	$205 - $3,126	192%
Php Centennial	$205	192%
Workers Comp	$275 - $3,126	257%
Medicare (plans)	$438 - $3,126	410%
UnitedHealthcare	$438 - $500	410%
Champus	$500 - $3,126	468%
Mcare Mcaid Hmo Dual	$500	468%
Self Pay	$1,563	1463%
Other Covernment	$1,954 - $3,126	1829%
Blue Cross Blue Shield	$2,344 - $3,126	2195%
Mva	$3,126	2927%
Other Government	$3,126	2927%

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 $1,563.
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 Alta Vista Regional Hospital 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.