CMS Price Transparency Data

CT scan, pelvis

Facility: Medical City Fort Worth

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $501
  • Cash Discount Price: $7,158
  • vs. Medicare Baseline: 4.69x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Medical City Fort Worth is $501. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,158. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.69x the Medicare baseline. Located in 900 Eighth Avenue, Fort Worth, TX.
Cash / Self-Pay
$7,158

Average discount available for prompt cash payment at this facility.

Insurance Median
$501

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: $7,158 (6702%)
Insurance Median: $501 (469%)
Cash: $7,158 (6702% of Medicare)
Ins. Median: $501 (469% 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 469% of the Medicare baseline (a markup of 369%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Amerigroup $105 98%
Cook Childrens Health Plan $105 98%
Parkland Community Health Plan $105 98%
United $105 - $1,346 98%
Cigna $110 - $3,794 103%
Healthspring Life $110 103%
Aetna $113 - $4,216 106%
Molina $115 - $117 108%
Humana $131 - $367 123%
Blue Cross Blue Shield $133 - $3,178 125%
Imaging Providers Of Texas $350 328%
Superior Health Plan $501 469%
Unicare $1,575 - $7,158 1475%
Healthcare Highways $2,419 2265%
City Of Mckinney $3,221 3016%
Fidelis Securecare $3,221 3016%
Emerging Therapy Solutions $3,579 - $5,154 3351%
National Choicecare $3,579 3351%
Pc Texas Partners $3,937 3686%
Physicians Coop Of Tx $3,937 3686%
Rockport Health Group $3,937 3686%
Averde Health, Inc $4,152 3887%
Coastal Comp Health Networks $5,011 4692%
Mega Life $5,011 4692%
Healthsmart Preferred Care $5,082 4758%
Lewisville Isd/Dls Consulting $5,369 5027%
Usa Managed Care $5,727 5362%
Usc Health Services $5,727 5362%
Galaxy Health Network $6,084 5696%
UnitedHealthcare $6,156 5764%
Independent Medical Systems $7,158 6702%
National Healthcare Solutions $7,158 6702%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 Eighth Avenue, Fort Worth, TX 76104
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals