CMS Price Transparency Data

CT scan, pelvis

Facility: Columbus Community Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $550
Cash Discount Price: $1,873
vs. Medicare Baseline: 5.15x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Columbus Community Hospital is $550. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,873. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.15x the Medicare baseline. Located in 1515 Park Ave, Columbus, WI.

Cash / Self-Pay

$1,873

Average discount available for prompt cash payment at this facility.

Insurance Median

$550

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: $1,873 (1754%)

Insurance Median: $550 (515%)

Cash: $1,873 (1754% of Medicare)

Ins. Median: $550 (515% 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 515% of the Medicare baseline (a markup of 415%). 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
Dean Health Plan	$107 - $802	100%
My Choice Wisconsin	$107 - $186	100%
Quartz	$107 - $2,237	100%
Security Health Plan	$107 - $2,541	100%
UnitedHealthcare	$107 - $2,826	100%
Blue Cross Blue Shield	$186 - $2,622	174%
Icare	$186 - $987	174%
Alliance	$299	280%
Cigna	$2,036	1906%
Health Payment Systems	$2,554	2391%
Trilogy	$2,792	2614%
Wps	$2,867	2684%
Healtheos	$2,962 - $3,167	2773%
First Health	$2,996	2805%
Humana	$3,064	2869%

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 $1,873.
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 Columbus Community 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.