CMS Price Transparency Data

CT scan, pelvis

Facility: Arthur G James Cancer Hospital and Research Institute

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $956
Cash Discount Price: Unavailable
vs. Medicare Baseline: 8.95x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Arthur G James Cancer Hospital and Research Institute is $956. 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 8.95x the Medicare baseline. Located in 460 W 10Th Ave, Columbus, OH.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$956

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: $956 (895%)

Ins. Median: $956 (895% 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 895% of the Medicare baseline (a markup of 795%). 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
Healthspan	$390 - $5,413	365%
Medigold	$390	365%
Upper Ohio Valley	$390 - $5,413	365%
Medicare (plans)	$394 - $5,467	369%
Humana	$398 - $5,521	373%
Medicaid / KanCare	$451 - $619	422%
Aetna	$473 - $5,388	443%
Cigna	$475 - $1,290	445%
United	$475 - $1,255	445%
Caresource	$587 - $879	550%
Mmo	$587 - $1,431	550%
Molina	$587 - $5,388	550%
Odrc	$619 - $724	580%
Blue Cross Blue Shield	$654 - $2,137	612%
Buckeye Community	$657 - $872	615%
Amerihealth	$662 - $959	620%
Osu Health Plan	$813 - $1,178	761%
Lifetrac	$1,157 - $1,210	1083%
Ohio Ppo	$1,168	1094%
Ohiohealth	$1,282 - $1,299	1200%
Frontpath	$1,424	1333%
Healthsmart	$1,602	1500%
Multiplan	$1,655	1549%
Ohio Dept Of Health	$4,289	4016%

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 Arthur G James Cancer Hospital and Research Institute 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.