CMS Price Transparency Data

CT scan, pelvis

Facility: Yoakum County Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $1,014
Cash Discount Price: $1,560
vs. Medicare Baseline: 9.49x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Yoakum County Hospital is $1,014. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,560. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.49x the Medicare baseline. Located in 412 Mustang Avenue, Denver City, TX.

Cash / Self-Pay

$1,560

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,014

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: $1,560 (1461%)

Insurance Median: $1,014 (949%)

Cash: $1,560 (1461% of Medicare)

Ins. Median: $1,014 (949% 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 949% of the Medicare baseline (a markup of 849%). 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
90 Degree Benefits	$55	51%
Firstcare	$132 - $1,092	124%
Multiplan	$132 - $1,365	124%
Insurance Services Of Lubbock	$500	468%
Cigna	$550	515%
Blue Cross Blue Shield	$789 - $928	739%
Humana	$1,014	949%
UnitedHealthcare	$1,014 - $1,248	949%
Aetna	$1,034 - $1,326	968%
Dars	$1,092	1022%
Healthsmart	$1,318	1234%
Phcs	$1,326	1241%
Capstar	$1,404	1314%
Provider Network	$1,521	1424%

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 $1,560.
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 Yoakum County Hospital 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.