CMS Price Transparency Data

CT scan, pelvis

Facility: Johnson County Community Hospital

Billing Code: 72192 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$263

about 2.5× the $107 Medicare rate · typically $104–$458

modeled estimate · not a bill or quote

What this hospital charges insurers

$391

Above the fair price

about $128 over the fair price · 3.7× Medicare

Medicare pays $107 Fair price $263 This hospital $391 Cash price $577 Hospital's list price $2,507

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $48 Priciest $391

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, pelvis is about $263 (about 2.5× the $107 Medicare rate). Johnson County Community Hospital charges insurers about $391, or about $577 in cash — above the fair price. Located in Mountain City, TN.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $263. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$151 - $2,507	141%
Blue Cross Blue Shieldmajor	$151 - $1,887	141%
Aetnamajor	$152 - $1,599	142%
Cignamajor	$427 - $763	400%
Humanamajor	$739	692%
Ambetter (Centene)	$802	751%
Amerigroup	$163 - $727	153%
Devoted Health	$763	714%
Molina	$152 - $756	142%
Sentara	$147 - $851	138%
WellCare	$727	681%
+ 3 smaller / regional plans	$727 - $2,507

Government programs also on file: Medicare.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 577), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72192.

Insurance Before you use insurance

Call your insurance company to confirm Johnson County Community Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 72192.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Johnson County Community Hospital

Compare: CT scan, pelvis at other TN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.