CMS Price Transparency Data

CT scan, pelvis

Facility: Physicians Regional Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $118
  • Cash Discount Price: $966
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Physicians Regional Medical Center is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $966. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.10x the Medicare baseline. Located in 7565 Dannaher Way Powell, Powell, TN.
Cash / Self-Pay
$966

Average discount available for prompt cash payment at this facility.

Insurance Median
$118

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: $966 (904%)
Insurance Median: $118 (110%)
Cash: $966 (904% of Medicare)
Ins. Median: $118 (110% 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
Medicaid / KanCare $42 39%
UnitedHealthcare $42 - $4,350 39%
Amerigroup $84 - $98 79%
Amerigroup Community Care $84 79%
Tricare $90 84%
Humana $93 87%
Medicare (plans) $93 87%
Node Bluecare Plus Tn Mcr Adv $93 - $95 87%
Department Of Veterans Affairs $95 89%
Node Devoted Health Mcr Adv $95 89%
Node Farm Bureau Mcr Adv $95 89%
Node Hospice Non Par Agree $95 89%
Node Va $95 89%
Veterans Eval Services $95 89%
Aetna $96 - $412 90%
Blue Cross Blue Shield $96 - $844 90%
Node Healthspring Mcr Adv $96 90%
Wellcare $99 93%
Node Nhc Mcr Adv $103 96%
Node Us Dept Of Labor $119 111%
Us Department Of Labor $119 111%
Novanet Work Comp Tn $158 148%
Occunet Work Comp Tn $160 150%
Tn Work Comp $160 150%
Ambetter / Centene $175 164%
Node Point Comfort Underwriters $175 164%
Cigna $219 - $223 205%
Self Pay $946 - $985 886%
Multiplan $2,349 - $3,088 2199%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7565 Dannaher Way Powell, Powell, TN 37849
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals