CMS Price Transparency Data

CT scan, pelvis

Facility: University Hospitals Conneaut Medical Center

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 University Hospitals Conneaut Medical Center 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 158 West Main Road, Conneaut, 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
University Health Employee Plan (Contigo) $520 487%
Aetna $587 - $1,843 550%
Blue Cross Blue Shield $587 - $1,895 550%
Cigna $587 - $1,717 550%
Devoted $587 550%
Humana $587 550%
Medical Mutual Of Ohio $587 - $1,787 550%
Molina $587 550%
Primetime Health Plan $587 550%
Summacare $587 - $1,200 550%
The Health Plan $587 - $1,251 550%
UnitedHealthcare $587 - $1,518 550%
Wellcare By Allwell $587 550%
Amish Aid Community Plan $600 562%
Amish Church Fund And Workers Aid Plan $600 562%
Buckeye Plain Ministries $600 562%
Paramount $605 566%
Perennial Advantage Of Ohio $617 578%
Valor Health Plans $617 578%
Christian Healthcare Ministries $900 - $948 843%
Clarity $910 852%
Immergrun $948 888%
Sunrise Plan Communities $948 888%
Aultcare $975 913%
Ambetter / Centene $1,057 990%
Caresource $1,057 990%
Healthsmart $1,232 1153%
Ohio Health Choice $1,232 - $1,706 1153%
Medical Mutual Traditional/Health Ohio $1,326 1241%
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: 158 West Main Road, Conneaut, OH 44030
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals