CMS Price Transparency Data

CT scan, pelvis

Facility: Pullman Regional Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $1,652
  • Cash Discount Price: $1,924
  • vs. Medicare Baseline: 15.47x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Pullman Regional Hospital is $1,652. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,924. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 15.47x the Medicare baseline. Located in 835 S Bishop Blvd, Pullman, WA.
Cash / Self-Pay
$1,924

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,652

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: $1,924 (1801%)
Insurance Median: $1,652 (1547%)
Cash: $1,924 (1801% of Medicare)
Ins. Median: $1,652 (1547% 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 1547% of the Medicare baseline (a markup of 1447%). 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
Kaiser - All Other Plans $286 268%
Community Care Ntwrk Mcare-All Plans $792 742%
Humana $792 742%
Kaiser Mcare Advan $792 742%
Sterling Mcr Adv-All Plans $792 742%
Triwest - All Plans $792 742%
Blue Cross Blue Shield $800 - $2,150 749%
Community Health Plan Mcaid-All Plans $819 767%
Medicaid / KanCare $819 767%
Molina Hlthcare Mcaid-All Plans $819 767%
Wellcare Mcaid -All Other Plans $819 767%
Wellpoint Mcaid - All Plans $819 767%
Wellcare Mcr Adv $863 808%
Idaho Dshs-All Plans $928 869%
Premera First - All Plans $1,652 1547%
Single Case Agree - All Plans $1,652 1547%
First Choice Admin $1,867 1748%
Admin Wsu Student-All Plans $1,924 1801%
Multiplan - All Plans $1,924 1801%
Asuris Nw Hlth-All Plans $2,037 1907%
Cigna $2,037 1907%
First Choice - All Other Plans $2,037 1907%
Focus Hlthcare - All Plans $2,037 1907%
Northwest One - All Plans $2,037 1907%
UnitedHealthcare $2,037 1907%
Aetna $2,150 2013%
Great West Hlth-All Plans $2,150 2013%
Integrated Hp - All Plans $2,150 2013%
Spokane Phco - All Plans $2,150 2013%
Provider Network Of America-All Plans $2,218 2077%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 S Bishop Blvd, Pullman, WA 99163
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals