CMS Price Transparency Data

CT scan, pelvis

Facility: Doctors Hospital of Laredo

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $3,807
Cash Discount Price: $4,056
vs. Medicare Baseline: 35.64x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Doctors Hospital of Laredo is $3,807. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,056. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 35.64x the Medicare baseline. Located in 10700 McPherson Road, Laredo, TX.

Cash / Self-Pay

$4,056

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,807

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: $4,056 (3797%)

Insurance Median: $3,807 (3564%)

Cash: $4,056 (3797% of Medicare)

Ins. Median: $3,807 (3564% 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 3564% of the Medicare baseline (a markup of 3464%). 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
Driscoll	$43	40%
Superior	$109	102%
Cigna	$112 - $4,073	105%
Molina	$114	107%
United_Healthcare	$187	175%
Blue_Cross_Blue_Shield_Of_Tx	$335 - $3,807	314%
Aetna	$4,099 - $6,853	3838%
Healthsmart	$4,934 - $8,248	4619%
Multiplan	$6,073 - $10,152	5686%
Geha	$7,060 - $11,802	6610%

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 $4,056.
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 Doctors Hospital of Laredo 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.