CT scan, pelvis
Facility: Salina Regional Health Center
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $2,432
- Cash Discount Price: $1,892
- vs. Medicare Baseline: 22.77x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 2277% of the Medicare baseline (a markup of 2177%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $479 - $504 | 448% |
| Preferred Phsic | $1,622 | 1519% |
| Preferred Healthcare - All Other Plans | $2,189 | 2049% |
| Aetna | $2,432 | 2277% |
| Providers Care (Wppa)-All Plans | $2,432 | 2277% |
| Multiplan (Mpi)-All Plans | $2,432 | 2277% |
| Cigna | $2,432 | 2277% |
Consumer Guidance & Cost Commentary
For a CT scan of the pelvis at Salina Regional Health Center in Salina, Kansas, the facility's cash median price is $1,892, which is lower than the negotiated rates paid by major insurers like Preferred Healthcare ($2,189) and Aetna ($2,432). While the facility's negotiated rate of $2,432 is higher than the cash price, patients with high-deductible plans may find paying cash directly more cost-effective if their insurance allowed amount exceeds the cash rate. It is important to note that commercial insurance rates often include administrative overhead and contract markups, whereas cash prices reflect the direct cost of the service without these layers. Additionally, the facility's cash rate is significantly lower than the Medicare benchmark of $106.81 for this procedure, highlighting the substantial markup inherent in commercial billing structures.
Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, unexpected charges can still occur if ancillary services like emergency physicians or specific lab tests are billed separately. To avoid these surprises, consumers should request a full itemized bill before paying and dispute any errors in writing rather than accepting summary invoices. Furthermore, many hospitals offer prompt-pay discounts for upfront cash payments, which can further reduce the final cost. Given that the facility is a voluntary non-profit acute care hospital, patients are encouraged to contact the billing department directly to confirm self-pay rates and any available discounts before scheduling their appointment.