CMS Price Transparency Data
CT scan, pelvis
Facility: Anmed Health
Billing Code: 72192 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72192
- Insurance Median: $122
- Cash Discount Price: $120
- vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Anmed Health is $122. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $120. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.14x the Medicare baseline. Located in 800 N Fant St, Anderson, SC.
Cash / Self-Pay
$120
Average discount available for prompt cash payment at this facility.
Insurance Median
$122
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: $120 (112%)
Insurance Median: $122 (114%)
Cash: $120 (112% of Medicare)
Ins. Median: $122 (114% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Employee Benefit Management Services [869] | $12 - $630 | 11% |
| Preferred Administrators [19] | $14 - $1,350 | 13% |
| Phcs [940] | $21 - $1,980 | 20% |
| Medicaid / KanCare | $38 - $2,250 | 36% |
| Humana | $40 - $1,620 | 37% |
| Select Health Of Sc [637] | $44 - $112 | 41% |
| Aetna | $47 - $1,726 | 44% |
| Blue Cross Blue Shield | $47 - $2,138 | 44% |
| Medicare (plans) | $47 - $2,250 | 44% |
| UnitedHealthcare | $47 - $2,250 | 44% |
| Vaccn - Va Community Care Network [16] | $47 - $122 | 44% |
| Veterans Administration [633] | $47 - $122 | 44% |
| Devoted Health Alt Payer [9401] | $48 - $124 | 45% |
| Devoted Health [94] | $48 - $124 | 45% |
| Absolute Total Care Mcr Plans Alt Payer [4101] | $49 - $126 | 46% |
| Absolute Total Care Mcr Plans [41] | $49 - $126 | 46% |
| Blue Choice Health Plan [922] | $49 - $914 | 46% |
| Champva [604] | $49 - $127 | 46% |
| Cigna | $49 - $2,250 | 46% |
| First Choice Vip Careplus Alt Payer [3301] | $49 - $128 | 46% |
| First Choice Vip [33] | $49 - $128 | 46% |
| Molina Dual Options Alt Payer [1501] | $49 - $125 | 46% |
| Molina Dual Options [15] | $49 - $125 | 46% |
| Nhc Advantage Alt Payer [6101] | $49 - $128 | 46% |
| Nhc Advantage [61] | $49 - $128 | 46% |
| Tricare | $49 - $127 | 46% |
| Absolute Total Care [58] | $50 - $584 | 47% |
| Bright Health Alt Payer [1001] | $55 - $145 | 51% |
| Geha [302] | $64 - $1,192 | 60% |
| Golden Rule Ins Co [584] | $64 - $1,192 | 60% |
| Ambetter / Centene | $67 - $174 | 63% |
| First Choice Next [96] | $68 - $176 | 64% |
| Molina Marketplace [97] | $68 - $176 | 64% |
| Bright Health [11] | $70 - $178 | 66% |
| Mail Handlers Benefit Plan [327] | $75 - $1,726 | 70% |
| Rural Carrier Benefit Plan [406] | $75 - $1,726 | 70% |
| Workers Compensation [622] | $77 - $197 | 72% |
| Edison Health Solutions [95] | $82 - $213 | 77% |
| Healthscope [98] | $82 - $213 | 77% |
| Planned Administrators [886] | $83 - $979 | 78% |
| Nalc Health Benefit Plan [291] | $86 - $1,299 | 81% |
| Other Hospital Payers [1991] | $122 - $2,250 | 114% |
| Medcost [206] | $127 - $2,025 | 119% |
| Thomas Cooper & Company [315] | $145 - $979 | 136% |
| Coventry Health [245] | $1,620 - $1,991 | 1517% |
| American Continental Ins [778] | $2,250 | 2107% |
| American Republic Life Ins [722] | $2,250 | 2107% |
| Business Office [6000] | $2,250 | 2107% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [17] | $2,250 | 2107% |
| First Health [946] | $2,250 | 2107% |
| Guarantee Trust Life Insurance [236] | $2,250 | 2107% |
| Home Health Infusion Payer [6001] | $2,250 | 2107% |
| Manhattan Life Ins Co [932] | $2,250 | 2107% |
| Miscellaneous Commercial [1] | $2,250 | 2107% |
| New Era Life Ins Co [437] | $2,250 | 2107% |
| Non-Contracted [22] | $2,250 | 2107% |
| Physicians Mutual [773] | $2,250 | 2107% |
| Reference Based Pricing/Limited Plan [21] | $2,250 | 2107% |
| State Farm Ins Co [373] | $2,250 | 2107% |
| Sterling Investors Life [244] | $2,250 | 2107% |
| Supermed/Med Mutual Of Ohio [539] | $2,250 | 2107% |
| United American Ins Co [277] | $2,250 | 2107% |