CMS Price Transparency Data

CT scan, pelvis

Facility: Tristar Centennial Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $1,289
Cash Discount Price: $6,784
vs. Medicare Baseline: 12.07x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Tristar Centennial Medical Center is $1,289. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,784. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.07x the Medicare baseline. Located in 2300 Patterson Street, Nashville, TN.

Cash / Self-Pay

$6,784

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,289

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: $6,784 (6351%)

Insurance Median: $1,289 (1207%)

Cash: $6,784 (6351% of Medicare)

Ins. Median: $1,289 (1207% 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 1207% of the Medicare baseline (a markup of 1107%). 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
United	$155 - $3,053	145%
Humana	$202 - $4,410	189%
Blue Cross Blue Shield	$231 - $444	216%
Aetna	$459 - $3,392	430%
Kentucky Labor Cabinet	$1,249	1169%
Apex Health	$1,289	1207%
Nhc Advantage, Inc.	$1,289	1207%
Pruitt Health (Allyalign)	$1,289	1207%
Tennessee Donor Services	$1,839	1722%
Cigna	$2,117 - $5,428	1982%
Emerging Therapy Solutions	$3,324 - $4,546	3112%
Bgfh Singlesource	$3,392 - $5,767	3176%
Value Option	$3,392	3176%
Multiplan	$3,731	3493%
Southern Health Partners	$4,071	3811%
Employers Health Network	$4,749	4446%
Compsych	$5,428	5082%
Beech Street	$5,970	5589%
Prime Health	$5,970	5589%
UnitedHealthcare	$6,038 - $6,784	5653%

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 $6,784.
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 Tristar Centennial 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.