CMS Price Transparency Data

CT scan, pelvis

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $2,038
Cash Discount Price: Unavailable
vs. Medicare Baseline: 19.08x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at University of Texas M. D. Anderson Cancer Center is $2,038. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.08x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,038

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%)

Insurance Median: $2,038 (1908%)

Ins. Median: $2,038 (1908% 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 1908% of the Medicare baseline (a markup of 1808%). 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
Texaschildrens	$38 - $1,281	36%
Tricare	$43 - $2,183	40%
Vacare	$43 - $1,281	40%
Medicare (plans)	$61 - $1,281	57%
Blue Cross Blue Shield	$78 - $2,096	73%
UnitedHealthcare	$97 - $2,183	91%
Cigna	$110 - $2,183	103%
Aetna	$115 - $2,183	108%
Humana	$233 - $2,241	218%
Ontarioministriesofhealth	$287 - $2,154	269%
Beijingst.Lucia	$291 - $2,183	272%
Embassyofqatar	$291 - $2,183	272%
Memorialhermannhealth	$291 - $2,183	272%
Emergingtherapysolutions_Cancercare	$310 - $2,329	290%
Interlink_Cancercare	$310 - $2,329	290%
Saudiarmedforces	$310 - $2,329	290%
Uae_Medical	$310 - $2,329	290%
Uaepoliceattache	$310 - $2,329	290%
Multiplan	$317 - $2,503	297%
Phcs	$317 - $2,503	297%
Healthsmart	$330 - $2,474	309%
Vantage	$330 - $2,474	309%
Emergingtherapysolutions	$2,183 - $2,329	2044%
Interlink	$2,183 - $2,474	2044%

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 $X.
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 University of Texas M. D. Anderson Cancer 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.