CMS Price Transparency Data

CT scan, pelvis

Facility: Guthrie Cortland Regional Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $146
Cash Discount Price: $1,490
vs. Medicare Baseline: 1.37x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Guthrie Cortland Regional Medical Center is $146. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,490. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.37x the Medicare baseline. Located in 134 Homer Avenue, Cortland, NY.

Cash / Self-Pay

$1,490

Average discount available for prompt cash payment at this facility.

Insurance Median

$146

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: $1,490 (1395%)

Insurance Median: $146 (137%)

Cash: $1,490 (1395% of Medicare)

Ins. Median: $146 (137% 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.

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
Pa Health And Wellness	$98	92%
Tricare	$135	126%
UnitedHealthcare	$135 - $1,304	126%
Wellcare	$135 - $141	126%
Mvp	$137 - $1,863	128%
Aetna	$139	130%
Amerihealth	$139 - $146	130%
Humana	$139	130%
Fidelis	$141 - $247	132%
Blue Cross Blue Shield	$142 - $1,863	133%
Emblem	$142 - $1,490	133%
Icircle	$142	133%
Health Partners	$146	137%
Geisinger	$147	138%
Fidelis Essential	$318	298%

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 $1,490.
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 Guthrie Cortland Regional Medical Center 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.