CMS Price Transparency Data

CT scan, pelvis

Facility: American Fork Hospital

Billing Code: 72192 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$105
about 1.0× the $107 Medicare rate · typically $102–$141
modeled estimate · not a bill or quote
What this hospital charges insurers
$105
About the fair price
1.0× Medicare
Medicare pays $107 Fair price $105 This hospital $105 Cash price $1,824 Hospital's list price $2,431

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

A typical price — 0 charge more and 3 charge less, among the 9 UT hospitals compared.

Cheapest $64 Priciest $105

Black dot = this hospital, among the 9 UT hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, pelvis is about $105 (about 1.0× the $107 Medicare rate). American Fork Hospital charges insurers about $105, or about $1,824 in cash — about the fair price. Located in American Fork, UT.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $51 - $2,067 48%
Blue Cross Blue Shieldmajor $51 - $1,848 48%
Aetnamajor $51 - $2,067 48%
Cignamajor $1,532 - $2,067 1434%
Humanamajor $51 - $110 48%
HealthPartners $51 - $105 48%
Molina $51 - $116 48%
SelectHealth $51 - $1,230 48%
+ 31 smaller / regional plans $44 - $2,188
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 170 North 1100 East, American Fork, UT 84003
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals