CT scan, pelvis
Facility: Centura St. Catherine-Dodge City
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $2,079
- Cash Discount Price: $1,264
- vs. Medicare Baseline: 19.46x 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 1946% of the Medicare baseline (a markup of 1846%). 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 |
|---|---|---|
| Kaiser | $74 | 69% |
| Cigna | $74 | 69% |
| Blue Cross Blue Shield | $74 - $565 | 69% |
| Medicare (plans) | $74 | 69% |
| Humana | $74 | 69% |
| Kansas Health | $74 | 69% |
| Aetna | $74 - $2,527 | 69% |
| Centura Employee Plan | $337 | 316% |
| UnitedHealthcare | $2,079 | 1946% |
| Wpaa | $2,211 | 2070% |
| Christian Health Aid | $2,527 | 2366% |
| Multiplan | $2,527 - $2,843 | 2366% |
| Health Partners Of Kansas | $2,843 | 2662% |
Consumer Guidance & Cost Commentary
For the CT scan of the pelvis (CPT 72192) at Centura St. Catherine-Dodge City, the cash median price is $1,264, which is significantly lower than the facility's typical negotiated rates. While the facility's median negotiated rate is $2,079, commercial payers like Aetna and Multiplan show a wide range, with some plans paying as high as $2,843. This disparity highlights that cash-paying can often be more cost-effective than using insurance, especially for patients with high deductibles where the insurer's allowed amount might exceed the cash price. It is important to verify your specific plan's negotiated rate before scheduling, as in-network rates vary widely among carriers and can sometimes be higher than the cash option.
When evaluating the cost of this procedure, it is essential to compare the facility's pricing against the Medicare benchmark, which serves as the objective baseline for healthcare delivery costs. The Medicare amount for this service is $106.81, and the facility's cash rate of $1,264 represents a markup relative to this federal standard. While the data does not provide specific county or state average comparisons for this exact procedure, understanding that commercial rates often range from 200% to 300% of Medicare rates helps contextualize the facility's pricing. Patients should also inquire about prompt-pay discounts, which can reduce bills by 20% to 50% if paid upfront, and request an itemized bill to ensure no errors or unbundled charges are included in the final amount.