CMS Price Transparency Data

CT scan, pelvis

Facility: Diley Ridge Medical Center

Billing Code: 72192 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$200
about 1.9× the $107 Medicare rate · typically $103–$388
modeled estimate · not a bill or quote
What this hospital charges insurers
$376
Well above the fair price
about $176 over the fair price · 3.5× Medicare
Medicare pays $107 Fair price $200 This hospital $376 Cash price $788 Hospital's list price $1,213

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $66 Priciest $376

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

A fair price for a CT scan, pelvis is about $200 (about 1.9× the $107 Medicare rate). Diley Ridge Medical Center charges insurers about $376, or about $788 in cash — well above the fair price. Located in Canal Winchester, OH.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $200. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $101 - $1,186 95%
Blue Cross Blue Shieldmajor $99 - $1,213 93%
Aetnamajor $99 - $1,385 93%
Cignamajor $1,126 1054%
Humanamajor $620 - $1,213 580%
AmeriHealth $566 530%
CareSource $885 829%
GEHA $545 - $1,186 510%
HealthLink $910 852%
HealthPartners $1,126 1054%
MagnaCare $566 530%
Medical Mutual $923 864%
MVP Health Care $1,126 1054%
Oscar Health $101 95%
Priority Health $1,126 1054%
Sentara $1,213 1136%
UniCare $566 530%
+ 89 smaller / regional plans $101 - $1,370
Government programs also on file: Medicare, Medicaid.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 7911 Diley Road, Canal Winchester, OH 43110
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals