CMS Price Transparency Data

CT scan, pelvis

Facility: Huron Regional Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $2,275
Cash Discount Price: $968
vs. Medicare Baseline: 21.30x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Huron Regional Medical Center is $2,275. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $968. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 21.30x the Medicare baseline. Located in 172 Fourth Street Se, Huron, SD.

Cash / Self-Pay

$968

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,275

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: $968 (906%)

Insurance Median: $2,275 (2130%)

Cash: $968 (906% of Medicare)

Ins. Median: $2,275 (2130% 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 2130% of the Medicare baseline (a markup of 2030%). 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
Sanford	$114 - $2,863	107%
UnitedHealthcare	$115 - $2,217	108%
Midlands	$127	119%
Medica	$134 - $2,780	125%
Healthpartners	$143 - $2,955	134%
Tlc Advantage	$144 - $2,986	135%
Wellmark	$450	421%
Avera	$2,275	2130%
Multiplan	$2,771	2594%
Americas	$2,986	2796%
First Choice Of The Midwest	$2,986	2796%
First Health Coventry	$2,986	2796%
Integrated Health Plan	$2,986	2796%

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 $968.
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 Huron 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.