CMS Price Transparency Data

CT scan, pelvis

Facility: Little Falls Hospital

Billing Code: 72192 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$123
about 1.1× the $107 Medicare rate · typically $72–$495
modeled estimate · not a bill or quote
What this hospital charges insurers
$135
About the fair price
about $12 over the fair price · 1.3× Medicare
Medicare pays $107 Fair price $123 This hospital $135 Cash price $386 Hospital's list price $1,430

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 $135

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

A fair price for a CT scan, pelvis is about $123 (about 1.1× the $107 Medicare rate). Little Falls Hospital charges insurers about $135, or about $386 in cash — about the fair price. Located in Little Falls, 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 $69 - $732 65%
Blue Cross Blue Shieldmajor $73 - $3,146 68%
Aetnamajor $74 - $862 69%
Cignamajor $210 - $2,876 197%
Humanamajor $75 - $790 70%
CDPHP $71 - $754 66%
Fidelis Care $74 - $783 69%
MVP Health Care $71 - $754 66%
+ 1 smaller / regional plan $69 - $732

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Facility Profile & Credentials

  • Address: 140 Burwell Street, Little Falls, NY 13365
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals