CT scan, pelvis
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $2,570
- Cash Discount Price: $3,427
- vs. Medicare Baseline: 24.06x 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 2406% of the Medicare baseline (a markup of 2306%). 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 | $2,056 | 1925% |
| Americas Choice Provider Network | $2,399 | 2246% |
| Provider Network Of America | $2,570 | 2406% |
| Usa Managed Care Organization | $2,570 | 2406% |
| Velocity | $2,570 | 2406% |
| Quiktrip Corporation | $2,570 | 2406% |
| Multiplan-Phcs | $2,741 | 2566% |
| Prime Health Services | $2,913 | 2727% |
| Medincrease | $3,084 | 2887% |
Consumer Guidance & Cost Commentary
For the CT scan of the pelvis (CPT code 72192) at the Rehabilitation Hospital Of Overland Park, the cash price is $3,427.00, which matches the facility's median paid rate. This cash rate is 24.1% higher than the Medicare benchmark of $106.81, indicating a significant markup relative to the federal cost baseline. While the facility's negotiated rates with insurance payers range from $2,056 to $3,084, these amounts are still substantially above the Medicare rate. For patients with high-deductible plans, paying the cash price of $3,427.00 upfront may be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash price due to administrative overhead and contract structures.
To ensure you receive the most accurate pricing, it is crucial to request an itemized billing audit before finalizing payment, as summary bills often obscure individual charges and potential errors. If you choose to pay out-of-pocket, ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the total cost by 20% to 50% if settled within a specific timeframe. Additionally, while the facility is a Part A provider in Overland Park, KS, always verify your specific plan's allowed amount with the hospital prior to scheduling, as in-network rates vary significantly by payer and do not guarantee the lowest possible price.