CT scan, pelvis
Facility: Holy Family Memorial
Billing Code: 72192 (CPT)
A typical price — 0 charge more and 5 charge less, among the 9 WI hospitals compared.
Black dot = this hospital, among the 9 WI 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 $101 (about 0.9× the $107 Medicare rate). Holy Family Memorial charges insurers about $103, or about $1,586 in cash — about the fair price. Located in Manitowoc, WI.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
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 | $101 - $1,565 | 95% |
| Blue Cross Blue Shieldmajor | $101 - $1,470 | 95% |
| Cignamajor | $2,076 | 1944% |
| Humanamajor | $101 | 95% |
| Dean Health Plan | $1,442 | 1350% |
| Health Net | $1,730 | 1620% |
| HealthPartners | $101 - $1,875 | 95% |
| Molina | $101 - $109 | 95% |
| Security Health Plan | $101 - $2,307 | 95% |
| + 13 smaller / regional plans | $101 - $2,307 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Holy Family Memorial
Compare: CT scan, pelvis at other WI hospitals
- Black River Memorial Hospital · Black River Falls $49
- Memorial Hospital of Lafayette County · Darlington $55
- Vernon Memorial Hospital · Viroqua $55
- Richland Hospital · Richland Center $91
- Fort Memorial Hospital · Fort Atkinson $102
- St Josephs Community Hospital West Bend · West Bend $103
- St Vincent Hospital · Green Bay $103
- Unitypoint Health - Meriter · Madison $103
Insurance negotiated median for the same procedure, sorted lowest first.