CMS Price Transparency Data

CT scan, pelvis

Facility: Sunrise Hospital and Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $108
  • Cash Discount Price: $421
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Sunrise Hospital and Medical Center is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $421. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.01x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.
Cash / Self-Pay
$421

Average discount available for prompt cash payment at this facility.

Insurance Median
$108

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: $421 (394%)
Insurance Median: $108 (101%)
Cash: $421 (394% of Medicare)
Ins. Median: $108 (101% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
United $35 - $2,041 33%
Humana $37 - $325 35%
Amerigroup $42 - $159 39%
Health Plan Nevada $42 - $167 39%
Molina $44 - $175 41%
Silver Summit $44 - $175 41%
Healthcare Partners Of Nv $48 - $177 45%
Aetna $49 - $929 46%
Alignment Health Plan $49 - $131 46%
Blue Cross Blue Shield $49 - $173 46%
Caremore $52 - $137 49%
Multiplan $53 - $7,129 50%
Community Care Health $56 - $159 52%
Molina Healthcare $56 - $165 52%
Sierra Hpn $56 - $159 52%
Hometown Health Providers $57 - $238 53%
Culinary Health Fund $58 - $448 54%
Ambetter / Centene $59 - $2,051 55%
Cigna $62 - $556 58%
Sierra $64 - $245 60%
Select Health $100 - $2,251 94%
Legacy Provider Network $878 822%
Corvel $926 - $979 867%
Comp-Med Workers Comp $946 886%
Olympus Medsave Usa $975 - $7,324 913%
Prominence Healthfirst $2,930 2743%
Cmn Global $4,102 3840%
Nv Health & Welfare Trust $5,860 5486%
First Health $6,446 - $7,813 6035%
Medcare International $7,324 6857%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3186 S Maryland Pkwy, Las Vegas, NV 89109
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals