CMS Price Transparency Data

CT scan, pelvis

Facility: Ohio State University State Health System

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $740
Cash Discount Price: Unavailable
vs. Medicare Baseline: 6.93x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Ohio State University State Health System is $740. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.93x the Medicare baseline. Located in 410 West 10Th Avenue, Columbus, OH.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$740

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%)

Insurance Median: $740 (693%)

Ins. Median: $740 (693% 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 693% of the Medicare baseline (a markup of 593%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$102 - $1,431	95%
Blue Cross Blue Shield	$102 - $1,732	95%
Medicare (plans)	$102 - $110	95%
Medigold	$102	95%
Mmo	$102 - $971	95%
Molina	$102 - $170	95%
Upper Ohio Valley	$102 - $1,175	95%
Humana	$104 - $714	97%
Buckeye Community	$105 - $158	98%
Caresource	$107 - $158	100%
Healthspan	$107 - $854	100%
Cigna	$475	445%
United	$475	445%
Osu Health Plan	$676 - $890	633%
Odrc	$724	678%
Ohio Ppo	$774 - $798	725%
Ohiohealth	$1,157 - $1,335	1083%
Lifetrac	$1,210	1133%
Frontpath	$1,424	1333%
Multiplan	$1,424	1333%
Healthsmart	$1,602	1500%

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 $X.
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 Ohio State University State Health System 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.