CMS Price Transparency Data

CT scan, pelvis

Facility: Vernon Memorial Hospital

Billing Code: 72192 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$447
about 4.2× the $107 Medicare rate · typically $102–$1,541
modeled estimate · not a bill or quote
What this hospital charges insurers
$55
Below the fair price — a good deal
about $392 under the fair price · 0.5× Medicare
Medicare pays $107 Fair price $447 This hospital $55 Cash price $1,551 Hospital's list price $1,551

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

One of the lower prices — 6 of 8 other WI hospitals charge more for the same procedure.

Cheapest $49 Priciest $103

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 $447 (about 4.2× the $107 Medicare rate). Vernon Memorial Hospital charges insurers about $55, or about $1,551 in cash — below the fair price — a good deal. Located in Viroqua, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $948 - $2,193 888%
Blue Cross Blue Shieldmajor $53 - $2,383 50%
Aetnamajor $55 - $865 51%
Quartz $55 - $885 51%
Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 507 South Main St, Viroqua, WI 54665
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals