CMS Price Transparency Data

CT scan, pelvis

Facility: Greeneville Community Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $194
  • Cash Discount Price: $588
  • vs. Medicare Baseline: 1.82x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Greeneville Community Hospital is $194. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $588. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.82x the Medicare baseline. Located in 1420 Tusculum Boulevard, Greeneville, TN.
Cash / Self-Pay
$588

Average discount available for prompt cash payment at this facility.

Insurance Median
$194

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: $588 (551%)
Insurance Median: $194 (182%)
Cash: $588 (551% of Medicare)
Ins. Median: $194 (182% 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
UnitedHealthcare $69 - $3,026 65%
Amerigroup $97 - $101 91%
Aetna $98 - $1,673 92%
Humana $98 92%
Managed Medicaire $98 92%
Medicare (plans) $98 92%
Sentara Health $98 - $1,011 92%
United Mine Workers Of America $98 92%
Blue Cross Blue Shield $99 - $355 93%
Cigna $102 - $427 95%
Devoted Health Plan $102 95%
Mountain Empire Pace $102 95%
Nhc Advantage $102 95%
Wellcare $103 - $3,918 96%
Optima Health $147 138%
Ambetter / Centene $213 199%
Medcost $1,865 1746%
First Health Coventry $3,134 2934%
Molina Healthcare $3,918 3668%
Seven Corners, Inc. $3,918 3668%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1420 Tusculum Boulevard, Greeneville, TN 37745
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals