CMS Price Transparency Data

CT scan, pelvis

Facility: Washakie Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $1,432
Cash Discount Price: $1,024
vs. Medicare Baseline: 13.41x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Washakie Medical Center is $1,432. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,024. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.41x the Medicare baseline. Located in 400 South 15Th Street, Worland, WY.

Cash / Self-Pay

$1,024

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,432

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: $1,024 (959%)

Insurance Median: $1,432 (1341%)

Cash: $1,024 (959% of Medicare)

Ins. Median: $1,432 (1341% 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 1341% of the Medicare baseline (a markup of 1241%). 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
Banner Health	$54 - $1,432	51%
Humana	$54 - $1,432	51%
Medica	$54 - $2,831	51%
Triwest Healthcare Alliance Corp - Va Ccn	$54 - $1,432	51%
UnitedHealthcare	$54 - $2,735	51%
Interwest Health	$55 - $2,923	51%
Prime Health Services	$55 - $2,923	51%
Blue Cross Blue Shield	$106 - $2,834	99%
First Choice Health Network	$106 - $2,834	99%
Hue Health, Inc	$106 - $2,834	99%
Imagine Health, Llc (Wka Wise Provider Network)	$106 - $2,834	99%
Mountain Health Cooperative (Co-Op)	$106 - $2,834	99%
Coventry	$108 - $2,864	101%
Cigna	$109 - $2,894	102%
Multiplan	$109 - $2,894	102%

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 $1,024.
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 Washakie Medical Center 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.