CMS Price Transparency Data
CT scan, pelvis
Facility: Gundersen St Josephs Hospital and Clinics
Billing Code: 72192 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$540
about 5.0× the $107 Medicare rate · typically $105–$1,674
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $540 Cash price $1,372 Hospital's list price $2,361
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 | $1,251 - $1,650 | 1171% |
| Blue Cross Blue Shieldmajor | $282 - $2,313 | 264% |
| Aetnamajor | $2,243 | 2100% |
| Cignamajor | $1,936 | 1813% |
| Humanamajor | $2,007 | 1879% |
| Amerigroup | $46 | 43% |
| Quartz | $1,287 | 1205% |
| Security Health Plan | $463 | 433% |
| UCare | $1,228 - $1,889 | 1150% |
| + 4 smaller / regional plans | $282 - $2,004 |
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Gundersen St Josephs Hospital and Clinics
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.