CMS Price Transparency Data

CT scan, pelvis

Facility: Jamaica Hospital Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $138
  • Cash Discount Price: $445
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Jamaica Hospital Medical Center is $138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $445. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.29x the Medicare baseline. Located in 89Th Avenue and Van Wyck Expressway, Jamaica, NY.
Cash / Self-Pay
$445

Average discount available for prompt cash payment at this facility.

Insurance Median
$138

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: $445 (417%)
Insurance Median: $138 (129%)
Cash: $445 (417% of Medicare)
Ins. Median: $138 (129% 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
Ghi $78 - $130 73%
UnitedHealthcare $93 - $927 87%
Healthfirst $117 - $130 110%
Fidelis $123 - $130 115%
Aetna $130 - $1,229 122%
Beacon Health Strategies $130 122%
Centerlight Healthcare $130 122%
Centivo $130 122%
Empire $130 - $295 122%
Hip $130 - $396 122%
Metroplus $130 - $143 122%
Elderplan $132 124%
Wellcare Of Ny $135 126%
Humana $138 129%
Senior Whole Health $138 129%
Centers Plan For Healthy Living $143 134%
Hamaspik Choice $149 140%
Magnacare $149 140%
World Trade Center Program $167 - $257 156%
Emblemhealth $214 200%
Empire Blue Priority $251 235%
1999 National Benefit Fund $302 283%
Vns $900 843%
Oscar $1,480 1386%
Villagecaremax $1,522 1425%
Cigna $1,756 1644%
Hotel Trades Council $1,912 1790%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 89Th Avenue and Van Wyck Expressway, Jamaica, NY 11418
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals