CMS Price Transparency Data

CT scan, pelvis

Facility: Baylor Scott & White Continuing Care Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $1,461
Cash Discount Price: $1,348
vs. Medicare Baseline: 13.68x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Baylor Scott & White Continuing Care Hospital is $1,461. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,348. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.68x the Medicare baseline. Located in 546 N Kegley Rd, Temple, TX.

Cash / Self-Pay

$1,348

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,461

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: $1,348 (1262%)

Insurance Median: $1,461 (1368%)

Cash: $1,348 (1262% of Medicare)

Ins. Median: $1,461 (1368% 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 1368% of the Medicare baseline (a markup of 1268%). 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
Corvel	$104	97%
Superior Health Plan	$107	100%
Injury Management Organization	$124	116%
Careworks Fka Rockport	$149	140%
Sedgwick	$149	140%
Midcoast	$1,236	1157%
Blue Cross Blue Shield	$1,259 - $1,528	1179%
Independent Medical System	$1,348	1262%
Cigna	$1,438 - $1,686	1346%
Curative	$1,461	1368%
First Health	$1,573	1473%
Healthsmart	$1,573 - $1,686	1473%
Humana	$1,573	1473%
Imagine Health	$1,618	1515%
Aetna	$1,686	1579%
University Of Mary Hardin-Baylor	$1,686	1579%
Three Rivers	$2,023	1894%
UnitedHealthcare	$2,097	1963%

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 $1,348.
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 Baylor Scott & White Continuing Care 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.