CMS Price Transparency Data

CT scan, pelvis

Facility: Ira Davenport Memorial Hospital

Billing Code: 72192 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$137
about 1.3× the $107 Medicare rate · typically $116–$313
modeled estimate · not a bill or quote
What this hospital charges insurers
$123
Below the fair price — a good deal
about $14 under the fair price · 1.1× Medicare
Medicare pays $107 Fair price $137 This hospital $123 Cash price $1,605 Hospital's list price $2,718

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $52 Priciest $123

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, pelvis is about $137 (about 1.3× the $107 Medicare rate). Ira Davenport Memorial Hospital charges insurers about $123, or about $1,605 in cash — below the fair price — a good deal. Located in Bath, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $1,217 - $2,785 1139%
Blue Cross Blue Shieldmajor $112 - $8,046 105%
Aetnamajor $1,989 - $2,367 1862%
Cignamajor $1,652 1547%
Humanamajor $126 - $2,387 118%
AmeriHealth $127 119%
Fidelis Care $112 - $1,459 105%
Geisinger $1,543 1445%
Independent Health $1,724 1614%
MVP Health Care $1,652 1547%
UPMC Health Plan $1,830 1713%
+ 6 smaller / regional plans $39 - $8,736
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 7571 State Route 54, Bath, NY 14810
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Rural Emergency Hospital