CMS Price Transparency Data

CT scan, pelvis

Facility: Mountainview Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $767
Cash Discount Price: $10,302
vs. Medicare Baseline: 7.18x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Mountainview Hospital is $767. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,302. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.18x the Medicare baseline. Located in 3100 N Tenaya Way, Las Vegas, NV.

Cash / Self-Pay

$10,302

Average discount available for prompt cash payment at this facility.

Insurance Median

$767

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: $10,302 (9645%)

Insurance Median: $767 (718%)

Cash: $10,302 (9645% of Medicare)

Ins. Median: $767 (718% 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 718% of the Medicare baseline (a markup of 618%). 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
Blue Cross Blue Shield	$51 - $173	48%
Ambetter / Centene	$59 - $2,163	55%
United	$79 - $2,246	74%
Sierra	$189	177%
Cigna	$556	521%
Corvel	$979	917%
Aetna	$981	918%
Olympus Medsave Usa	$1,031 - $7,726	965%
Select Health	$2,225 - $2,375	2083%
Prominence Healthfirst	$3,091	2894%
Cmn Global	$4,327	4051%
Emerging Therapy Solutions	$5,048 - $6,902	4726%
Nv Health & Welfare Trust	$6,181	5787%
Multiplan	$6,490 - $7,520	6076%
First Health	$6,799 - $8,242	6366%
Medcare International	$7,726	7233%

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 $10,302.
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 Mountainview 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.