CMS Price Transparency Data

CT scan, pelvis

Facility: Allegheny General Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $106
Cash Discount Price: $1,172
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Allegheny General Hospital is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,172. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.99x the Medicare baseline. Located in 320 East North Avenue, Pittsburgh, PA.

Cash / Self-Pay

$1,172

Average discount available for prompt cash payment at this facility.

Insurance Median

$106

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: $1,172 (1097%)

Insurance Median: $106 (99%)

Cash: $1,172 (1097% of Medicare)

Ins. Median: $106 (99% 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.

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
Univera	$42 - $161	39%
Amerihealth	$47 - $186	44%
Pennsylvania Health And Wellness	$59 - $169	55%
Highmark	$60 - $255	56%
Geisinger	$65 - $180	61%
UnitedHealthcare	$65 - $357	61%
Aetna	$81 - $342	76%
Cigna	$82 - $239	77%
Highmark Wholecare	$93 - $155	87%
American Health Plans	$102	95%
Life Pittsburgh	$102	95%
Martin'S Point	$102	95%
Humana	$108	101%
Medicare (plans)	$108	101%
Molina	$112	105%
Medical Mutual	$339	317%

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 $1,172.
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 Allegheny General 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.