CMS Price Transparency Data
CT scan, pelvis
Facility: Thedacare Medical Center - Berlin Inc
Billing Code: 72192 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$367
about 3.4× the $107 Medicare rate · typically $109–$1,457
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $367 Cash price $691 Hospital's list price $1,233
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
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 | $789 - $1,853 | 739% |
| Blue Cross Blue Shieldmajor | $1,615 - $1,732 | 1512% |
| Aetnamajor | $950 | 889% |
| Humanamajor | $777 | 727% |
| HealthPartners | $778 | 728% |
Government programs also on file: Medicare.
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Other Procedures at Thedacare Medical Center - Berlin Inc
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.