CMS Price Transparency Data

CT scan, pelvis

Facility: Geisinger-Community Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $693
Cash Discount Price: $1,982
vs. Medicare Baseline: 6.49x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Geisinger-Community Medical Center is $693. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,982. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.49x the Medicare baseline. Located in 1822 Mulberry Street, Scranton, PA.

Cash / Self-Pay

$1,982

Average discount available for prompt cash payment at this facility.

Insurance Median

$693

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: $1,982 (1856%)

Insurance Median: $693 (649%)

Cash: $1,982 (1856% of Medicare)

Ins. Median: $693 (649% 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 649% of the Medicare baseline (a markup of 549%). 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
Geisinger Health Plan	$105 - $302	98%
Medicare (plans)	$105	98%
Prison Health Services	$105	98%
Humana	$107	100%
Aetna	$110 - $1,886	103%
Medicaid / KanCare	$112	105%
Geisinger Family Plan	$116	109%
Amerihealth	$129	121%
Upmc For You	$132	124%
Health Partners	$135	126%
Upmc Chip	$141	132%
Blue Cross Blue Shield	$249 - $693	233%
Ambetter / Centene	$347	325%
UnitedHealthcare	$1,173	1098%
Cigna	$1,409	1319%
Christian Healthcare Ministries	$1,598	1496%
Healthnet	$1,873	1754%
Universal Managed Care	$1,982 - $2,077	1856%
Intergroup Services	$2,557 - $2,876	2394%
Multiplan	$2,717	2544%

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 $1,982.
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 Geisinger-Community Medical Center 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.