CMS Price Transparency Data

CT scan, pelvis

Facility: Henderson Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $854
Cash Discount Price: $2,681
vs. Medicare Baseline: 8.00x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Henderson Hospital is $854. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,681. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.00x the Medicare baseline. Located in 1050 West Galleria Drive, Henderson, NV.

Cash / Self-Pay

$2,681

Average discount available for prompt cash payment at this facility.

Insurance Median

$854

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: $2,681 (2510%)

Insurance Median: $854 (800%)

Cash: $2,681 (2510% of Medicare)

Ins. Median: $854 (800% 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 800% of the Medicare baseline (a markup of 700%). 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
Cigna	$150 - $215	140%
Blue Cross Blue Shield	$159 - $206	149%
Smart_Choice	$159	149%
Silver_Summit	$162	152%
Molina	$164	154%
United_Healthcare	$252	236%
Prominence	$845 - $1,216	791%
Humana	$854	800%
Sierra_Health_Options	$1,146 - $1,441	1073%
Aetna	$1,267 - $1,980	1186%
Sierra_Health_Plan_Of_Nevada	$1,906 - $2,397	1784%
Multiplan	$3,443 - $4,331	3223%

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 $2,681.
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 Henderson 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.