CMS Price Transparency Data

CT scan, pelvis

Facility: Magee Memorial Hospital for Convalescents

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $105
Cash Discount Price: $126
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Magee Memorial Hospital for Convalescents is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $126. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.98x the Medicare baseline. Located in 1513 Race Street, Philadelphia, PA.

Cash / Self-Pay

$126

Average discount available for prompt cash payment at this facility.

Insurance Median

$105

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: $126 (118%)

Insurance Median: $105 (98%)

Cash: $126 (118% of Medicare)

Ins. Median: $105 (98% 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
Magee Health Partners	$76 - $100	71%
Magee Pa Health_Wellness	$88 - $146	82%
Aetna	$89 - $149	83%
Geisinger Health Plan	$91 - $400	85%
Jefferson Health Plan Aca Qhp Exchange	$93	87%
Highmark Wholecare Gateway	$98	92%
Innovage	$98	92%
Inspira Life	$98	92%
Medicare (plans)	$98 - $108	92%
St Agnes	$98	92%
UnitedHealthcare	$98	92%
Humana	$100	94%
Cigna	$102	95%
Magee Keystone Vip	$102	95%
Devoted Health Participation	$103	96%
Magee Provider Partners Health Plan	$105	98%
Perennial	$114	107%
Medicaid / KanCare	$121	113%
Ibc Employee Benefit	$123	115%
Ibc Main Line Health	$123	115%
Magee Keystone First	$126 - $210	118%
Ambetter / Centene	$142	133%
Magee Naphcare	$157	147%
Magee United	$200	187%

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 $126.
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 Magee Memorial Hospital for Convalescents 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.