CMS Price Transparency Data

CT scan, pelvis

Facility: Excela Health Latrobe Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $110
  • Cash Discount Price: $809
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Excela Health Latrobe Hospital is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $809. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.03x the Medicare baseline. Located in One Mellon Way, Latrobe, PA.
Cash / Self-Pay
$809

Average discount available for prompt cash payment at this facility.

Insurance Median
$110

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: $809 (757%)
Insurance Median: $110 (103%)
Cash: $809 (757% of Medicare)
Ins. Median: $110 (103% 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
Highmark Advantage Community Blue $40 - $99 37%
Senior Life $43 - $107 40%
Va $43 - $107 40%
Health Partners Plan $44 - $110 41%
Humana $44 - $111 41%
Martin'S Point $44 - $110 41%
Peak Health $44 - $251 41%
The Health Plan Of West Virginia $44 - $251 41%
United $44 - $111 41%
Amerihealth Caritas $45 - $146 42%
Cigna $45 - $236 42%
Devoted $45 - $112 42%
Geisinger $45 - $135 42%
Pa Health And Wellness $46 - $146 43%
Upmc $46 - $143 43%
American Health Plan Of Pa $47 - $117 44%
Highmark Wholecare $47 - $138 44%
Provider Network Of America $47 - $1,078 44%
Provider Plan Partners Plan $47 - $117 44%
Upmc Health Plan $50 - $797 47%
Highmark Children'S Health Insurance Program $51 - $128 48%
Ambetter / Centene $53 - $134 50%
Highmark $58 - $236 54%
Velocity $64 - $160 60%
Community Blue $85 - $212 80%
UnitedHealthcare $109 - $272 102%
Aetna $110 - $246 103%
Health Partners Plans $135 126%
Upmc For Kids Chip $181 169%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Mellon Way, Latrobe, PA 15650
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals