CMS Price Transparency Data

CT scan, pelvis

Facility: UT of Texas Southwestern University Hospital - William P. Clements Jr.

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $148
  • Cash Discount Price: $618
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at UT of Texas Southwestern University Hospital - William P. Clements Jr. is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $618. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.39x the Medicare baseline. Located in 6201 Harry Hines Blvd, Dallas, TX.
Cash / Self-Pay
$618

Average discount available for prompt cash payment at this facility.

Insurance Median
$148

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: $618 (579%)
Insurance Median: $148 (139%)
Cash: $618 (579% of Medicare)
Ins. Median: $148 (139% 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
Molina $41 - $154 38%
Parkland $41 - $107 38%
UnitedHealthcare $41 - $1,080 38%
Wellpoint $41 - $145 38%
Aetna $47 - $1,241 44%
Superior $48 - $145 45%
Procare $50 - $132 47%
Ambetter / Centene $51 - $137 48%
Blue Cross Blue Shield $52 - $1,273 49%
Humana $52 - $138 49%
United Options Nexus $73 - $1,196 68%
Coventry $80 - $863 75%
Healthfirst $98 - $694 92%
Quiktrip $112 - $778 105%
Rockwall County $115 - $864 108%
Maestro Health/Fort Worth Firefighters $124 - $660 116%
Phcs $128 - $1,002 120%
Cigna $147 - $910 138%
Galaxy Health Network $148 - $1,087 139%
Multiplan $148 - $1,074 139%
Healthsmart $156 - $1,025 146%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6201 Harry Hines Blvd, Dallas, TX 75390
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals