CMS Price Transparency Data

CT scan, pelvis

Facility: Platte County Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $2,864
Cash Discount Price: $2,049
vs. Medicare Baseline: 26.81x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Platte County Hospital is $2,864. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,049. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 26.81x the Medicare baseline. Located in 201 14Th Street, Wheatland, WY.

Cash / Self-Pay

$2,049

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,864

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: $2,049 (1918%)

Insurance Median: $2,864 (2681%)

Cash: $2,049 (1918% of Medicare)

Ins. Median: $2,864 (2681% 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 2681% of the Medicare baseline (a markup of 2581%). 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
UnitedHealthcare	$1,432 - $2,822	1341%
Banner Health	$1,700	1592%
Humana	$1,700	1592%
Medica	$1,700 - $2,831	1592%
Triwest Healthcare Alliance Corp - Va Ccn	$1,700	1592%
Interwest Health	$1,734 - $2,923	1623%
Prime Health Services	$1,734 - $2,923	1623%
Platte County Detention Center	$2,386	2234%
Blue Cross Blue Shield	$2,834	2653%
First Choice Health Network	$2,834	2653%
Hue Health, Inc	$2,834	2653%
Imagine Health, Llc (Wka Wise Provider Network)	$2,834	2653%
Mountain Health Cooperative (Co-Op)	$2,834	2653%
Coventry	$2,864	2681%
First Health	$2,864	2681%
Midlands Choice	$2,864	2681%
Cigna	$2,894	2709%
Multiplan	$2,894	2709%

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 $2,049.
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 Platte County 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.