CMS Price Transparency Data

CT scan, pelvis

Facility: Uhhs Memorial Hospital of Geneva

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $1,232
  • Cash Discount Price: $1,421
  • vs. Medicare Baseline: 11.53x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Uhhs Memorial Hospital of Geneva is $1,232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,421. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.53x the Medicare baseline. Located in 870 West Main Street, Geneva, OH.
Cash / Self-Pay
$1,421

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,232

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: $1,421 (1330%)
Insurance Median: $1,232 (1153%)
Cash: $1,421 (1330% of Medicare)
Ins. Median: $1,232 (1153% 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 1153% of the Medicare baseline (a markup of 1053%). 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 $379 - $1,843 355%
Blue Cross Blue Shield $379 - $1,808 355%
Cigna $379 - $1,717 355%
Devoted Health $379 355%
Humana $379 355%
Medical Mutual Of Ohio $379 - $1,895 355%
Molina $379 355%
Primetime Health Plan $379 355%
Summacare $379 - $1,200 355%
The Health Plan $379 - $1,251 355%
UnitedHealthcare $379 - $1,697 355%
Wellcare By Allwell $379 355%
Paramount $390 365%
Perennial Advantage Of Ohio $398 373%
Valor Health Plans $398 373%
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%
Ambetter / Centene $682 639%
Caresource $682 639%
Christian Healthcare Ministries $900 - $948 843%
Clarity $910 852%
Immergrun $948 888%
Sunrise Plan Communities $948 888%
Aultcare $975 913%
Healthsmart $1,232 1153%
Ohio Health Choice $1,232 - $1,706 1153%
Beech Street $1,516 - $1,706 1419%
Ohio Preferred Network $1,516 - $1,706 1419%
First Health $1,573 1473%
Jp Farley $1,595 1493%
Century Health Network $1,611 1508%
Private Healthcare System $1,630 1526%
Configurenet $1,706 1597%
Fortified Provider Network $1,706 1597%
Multiplan $1,706 1597%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 870 West Main Street, Geneva, OH 44041
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals