CMS Price Transparency Data

CT scan, pelvis

Facility: University Hospitals Samaritan Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $1,621
  • Cash Discount Price: $1,448
  • vs. Medicare Baseline: 15.18x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at University Hospitals Samaritan Medical Center is $1,621. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,448. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 15.18x the Medicare baseline. Located in 1025 Center St, Ashland, OH.
Cash / Self-Pay
$1,448

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,621

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: $1,448 (1356%)
Insurance Median: $1,621 (1518%)
Cash: $1,448 (1356% of Medicare)
Ins. Median: $1,621 (1518% 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 1518% of the Medicare baseline (a markup of 1418%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $95 - $1,656 89%
Blue Cross Blue Shield $95 - $1,743 89%
Cigna $95 - $1,779 89%
Devoted Health $95 89%
Humana $95 89%
Molina $95 89%
Primetime Health Plan $95 89%
Summacare $95 - $1,756 89%
The Health Plan $95 - $1,698 89%
UnitedHealthcare $95 - $1,779 89%
Wellcare By Allwell $95 89%
Paramount $98 92%
Perennial Advantage Of Ohio $100 94%
Valor Health Plans $100 94%
Ambetter / Centene $171 160%
Caresource $171 160%
University Health Employee Plan (Contigo) $520 487%
Amish Aid Community Plan $600 562%
Amish Church Fund And Workers Aid Plan $600 562%
Buckeye Plain Ministries $600 562%
Medical Mutual Of Ohio $683 - $1,913 639%
Christian Healthcare Ministries $900 - $965 843%
Immergrun $965 903%
Sunrise Plain Communities $965 903%
Medical Mutual Traditional/Health Ohio $1,351 1265%
Beech Street $1,544 - $1,737 1446%
Ohio Preferred Network $1,544 - $1,737 1446%
First Health $1,602 1500%
Century Health Network $1,640 1535%
Ohio Health Choice $1,640 - $1,737 1535%
Private Healthcare System $1,660 1554%
Aultcare $1,737 1626%
Clarity $1,737 1626%
Configurenet $1,737 1626%
Fortified Provider Network $1,737 1626%
Healthsmart $1,737 1626%
Jp Farley $1,737 1626%
Multiplan $1,737 1626%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1025 Center St, Ashland, OH 44805
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals