CMS Price Transparency Data

CT scan, pelvis

Facility: Aurora Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $1,014
  • Cash Discount Price: $1,470
  • vs. Medicare Baseline: 9.49x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Aurora Medical Center is $1,014. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,470. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.49x the Medicare baseline. Located in 975 Port Washington Road, Grafton, WI.
Cash / Self-Pay
$1,470

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,014

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: $1,470 (1376%)
Insurance Median: $1,014 (949%)
Cash: $1,470 (1376% of Medicare)
Ins. Median: $1,014 (949% 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 949% of the Medicare baseline (a markup of 849%). 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
Aurora Caregiver $475 445%
UnitedHealthcare $538 - $2,475 504%
Blue Cross Blue Shield $556 - $2,499 521%
Healthpartners $796 - $2,205 745%
Molina Exchange $796 745%
Common Ground $812 760%
Centivo $820 768%
Aetna $836 - $2,428 783%
Health Payment Systems $875 819%
Quartz One $900 843%
Everpointe Elite $983 920%
Quartz Group $1,000 936%
Hs Technology $1,014 949%
Wisconsin Physician Service $1,128 - $1,187 1056%
Trilogy $1,170 1095%
Cigna $1,700 - $2,487 1592%
Health Eos Plus $1,764 1652%
Health Eos $2,352 2202%

Consumer Guidance & Cost Commentary

For the CT scan of the pelvis at Aurora Medical Center in Grafton, WI, the facility's cash payment rate of $1,470 is significantly higher than the Medicare benchmark of $106.81, which serves as the federal baseline for this service. While the facility lists a gross charge of $2,940, commercial insurance plans typically pay negotiated rates that vary widely; for instance, UnitedHealthcare plans pay between $538 and $2,475, while Molina Exchange pays a flat $796. Because the cash rate of $1,470 is lower than the high-end negotiated rates for many major payers like UnitedHealthcare and Cigna, patients with high-deductible plans may find paying cash upfront is the most cost-effective option if they have not yet met their deductible.

Patients should verify their specific plan's negotiated rate before scheduling, as some carriers like Common Ground and Quartz One pay fixed amounts of $812 and $1,000 respectively, which are lower than the cash price. It is important to note that the facility is a voluntary non-profit acute care hospital with a five-star rating, and while the data does not provide explicit state or county average comparisons for this specific procedure, the wide variance in payer rates—from $475 for Aurora Caregiver to $2,487 for Cigna—highlights the necessity of checking your specific coverage details. To potentially reduce costs further, patients should inquire directly with the hospital about self-pay or prompt-pay discounts, which can offer fee reductions for upfront payment, and request a waiver of automatic insurance submission to ensure they are billed at the agreed cash rate rather than

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 Port Washington Road, Grafton, WI 53024
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals