CMS Price Transparency Data

CT scan, pelvis

Facility: Jefferson County Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $1,880
Cash Discount Price: $1,015
vs. Medicare Baseline: 17.60x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Jefferson County Hospital is $1,880. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,015. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 17.60x the Medicare baseline. Located in Intersection Hyws 81 & 70, Waurika, OK.

Cash / Self-Pay

$1,015

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,880

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: $1,015 (950%)

Insurance Median: $1,880 (1760%)

Cash: $1,015 (950% of Medicare)

Ins. Median: $1,880 (1760% 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 1760% of the Medicare baseline (a markup of 1660%). 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
Blue Cross Blue Shield	$1,133 - $1,779	1061%
Medica	$1,215	1138%
Healthcare Highways	$1,273 - $1,880	1192%
Humana	$1,562	1462%
Friday Health Plan	$1,687	1579%
UnitedHealthcare	$1,967	1842%
Oklahoma Health Network (Ohn)	$2,314	2166%
Aetna	$2,459	2302%
Coventry	$2,459	2302%
Cigna	$2,604	2438%
First Health	$2,604	2438%
Osma Health	$2,604	2438%
Preferred Community Choice	$2,662	2492%
Healthsmart	$2,719	2546%

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 $1,015.
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 Jefferson County Hospital 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.