CMS Price Transparency Data

CT scan, pelvis

Facility: Lehigh Valley Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $203
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.90x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Lehigh Valley Hospital is $203. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.90x the Medicare baseline. Located in 1200 South Cedar Crest Boulevard, Allentown, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$203

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%)
Insurance Median: $203 (190%)
Ins. Median: $203 (190% 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.

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
Cigna $94 - $463 88%
UnitedHealthcare $94 - $377 88%
Amerihealth $111 - $114 104%
Blue Cross Blue Shield $111 - $1,066 104%
Ibc $111 - $1,695 104%
Highmark Blue Shield $113 - $359 106%
Geisinger $114 - $488 107%
Aetna $116 - $615 109%
Jefferson Health Partners $116 - $222 109%
Devoted Health $118 110%
Humana $118 110%
Upmc $118 - $540 110%
Gateway $119 111%
Emblem $120 - $495 112%
Pa Health & Wellness (Allwell) $122 114%
Amerihealth Caritas $124 - $202 116%
Highmark Wholecare/Gateway $143 134%
Pa Health & Wellness $152 142%
Keystone First $163 153%
Ambetter / Centene $336 315%
Valley Preferred $647 606%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 South Cedar Crest Boulevard, Allentown, PA 18103
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals