CMS Price Transparency Data

CT scan, pelvis

Facility: Snoqualmie Valley Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $239
Cash Discount Price: $907
vs. Medicare Baseline: 2.24x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Snoqualmie Valley Hospital is $239. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $907. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.24x the Medicare baseline. Located in 9801 Frontier Ave Se, Snoqualmie, WA.

Cash / Self-Pay

$907

Average discount available for prompt cash payment at this facility.

Insurance Median

$239

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: $907 (849%)

Insurance Median: $239 (224%)

Cash: $907 (849% of Medicare)

Ins. Median: $239 (224% 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 224% of the Medicare baseline (a markup of 124%). 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
Community Health Plan Of Wa Mcd Rep	$81 - $1,341	76%
Medicaid / KanCare	$81 - $1,342	76%
UnitedHealthcare	$81 - $2,644	76%
Amerigroup Wellpoint	$86 - $1,422	81%
Washington Coordinated Care	$87 - $1,449	81%
Molina Healthcare Of Washington Mcd Rep	$89 - $1,449	83%
Aetna	$107 - $1,670	100%
Humana	$108 - $1,223	101%
Blue Shield Of Wa Regence Mcr Adv	$152 - $1,223	142%
Community Health Plan Of Wa	$152 - $1,236	142%
Medicare (plans)	$152 - $1,211	142%
Molina Healthcare Of Washington Mcr Adv	$152 - $1,211	142%
Molina Healthcare Of Washington	$155 - $1,236	145%
Kaiser Foundation Health Plan Of The Northwest	$159 - $1,809	149%
Blue Cross Blue Shield	$187 - $1,724	175%
Blue Shield Of Wa Regence	$190 - $225	178%
First Choice Health Network	$195 - $2,012	183%
Cigna	$202 - $2,299	189%

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 $907.
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 Snoqualmie Valley 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.