CMS Price Transparency Data

CT scan, pelvis

Facility: Parkridge Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $1,309
Cash Discount Price: $4,477
vs. Medicare Baseline: 12.26x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Parkridge Medical Center is $1,309. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,477. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.26x the Medicare baseline. Located in 2333 McCallie Ave, Chattanooga, TN.

Cash / Self-Pay

$4,477

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,309

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: $4,477 (4192%)

Insurance Median: $1,309 (1226%)

Cash: $4,477 (4192% of Medicare)

Ins. Median: $1,309 (1226% 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 1226% of the Medicare baseline (a markup of 1126%). 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
Aetna	$92 - $2,365	86%
Health One Alliance	$154 - $3,075	144%
United	$155 - $2,129	145%
Ambetter / Centene	$189 - $197	177%
Blue Cross Blue Shield	$209 - $1,467	196%
Humana	$215 - $3,075	201%
Amerigroup	$642 - $719	601%
Kentucky Labor Cabinet	$778 - $871	728%
Apex Health	$803 - $899	752%
Nhc Advantage, Inc.	$803 - $899	752%
Pruitt Health (Allyalign)	$803 - $899	752%
Peach State	$845 - $946	791%
Wellcare	$845 - $946	791%
Cigna	$1,449 - $3,785	1357%
Value Option	$2,112 - $2,365	1977%
Magellan Behavioral Health	$2,534 - $2,838	2372%
Multiplan	$2,534 - $2,838	2372%
North Ga Health Services	$2,746 - $3,075	2571%
Employers Health Network	$2,957 - $3,312	2768%
Olympus Managed Healthcare	$2,957 - $3,312	2768%
Compsych	$3,379 - $3,785	3164%
Beech Street	$3,717 - $4,163	3480%
Prime Health	$3,717 - $4,163	3480%

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 $4,477.
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 Parkridge 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.