CMS Price Transparency Data

CT scan, pelvis

Facility: Grand Strand Regional Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $1,609
Cash Discount Price: $4,594
vs. Medicare Baseline: 15.06x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Grand Strand Regional Medical Center is $1,609. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,594. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 15.06x the Medicare baseline. Located in 809 82Nd Parkway, Myrtle Beach, SC.

Cash / Self-Pay

$4,594

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,609

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: $4,594 (4301%)

Insurance Median: $1,609 (1506%)

Cash: $4,594 (4301% of Medicare)

Ins. Median: $1,609 (1506% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1506% of the Medicare baseline (a markup of 1406%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Select Health	$146	137%
Group Health	$172	161%
Absolute Total Care	$186 - $827	174%
United	$245 - $2,067	229%
Blue Choice	$383	359%
Blue Choice Health Plan	$476	446%
Blue Cross Blue Shield	$476 - $4,364	446%
Sc State Employees	$492	461%
Cigna	$726 - $1,484	680%
Nhc Advantage	$873	817%
Pruitt Health	$873	817%
Aetna	$1,287 - $2,163	1205%
Medcost	$2,302 - $3,138	2155%
Vocational Rehab	$2,481	2323%
Employers Health Network	$2,527	2366%
Evernorth	$3,675	3441%
First Health	$3,790	3548%
Global Excel Management	$3,813	3570%
Humana	$3,905	3656%
Multiplan	$3,905	3656%
National Choicecare	$3,905	3656%
Prime Health	$3,905	3656%
Novanet	$4,135	3871%

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 $4,594.
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 Grand Strand Regional Medical Center 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.