CT scan, pelvis
Facility: Johnson Memorial Hospital
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $432
- Cash Discount Price: $674
- vs. Medicare Baseline: 4.04x 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 404% of the Medicare baseline (a markup of 304%). 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 |
|---|---|---|
| Connecticut Dept of Correction | $116 | 109% |
| UnitedHealthcare | $123 - $1,225 | 115% |
| Blue Cross Blue Shield | $123 - $432 | 115% |
| Aetna | $123 - $279 | 115% |
| Medicare (plans) | $123 - $129 | 115% |
| Cca Senior Care Options | $125 | 117% |
| Cigna | $127 - $956 | 119% |
| Fallon Health | $163 | 153% |
| Harvard Pilgrim Healthcare | $179 | 168% |
| Geha | $179 | 168% |
| Innovative Health Plan II | $263 | 246% |
| Diversified Administrators | $263 | 246% |
| Claimdoc | $263 | 246% |
| Webtpa | $279 | 261% |
| Hap | $279 | 261% |
| Nippon Life Ins | $279 | 261% |
| Meritain | $279 | 261% |
| Gravie Admin Services | $279 | 261% |
| 1199 National Benefit Fund | $279 | 261% |
| Allied Benefit Systems | $279 | 261% |
| Luminare Health | $279 | 261% |
| Centivo | $292 | 273% |
| Allegiance | $391 | 366% |
| Magnacare | $391 | 366% |
| Health Partners | $391 | 366% |
| Blue Distinction Transplant | $432 | 404% |
| Blue Care Network | $432 | 404% |
| Kaiser Domestic | $432 | 404% |
| Health Choices | $432 | 404% |
| Blue Shield - Ny Highmark Western | $432 | 404% |
| Wellpoint | $432 | 404% |
| Unicare | $432 | 404% |
| Blue Shield - PA (Highmark) | $432 | 404% |
| Blue Shield - Wa (Regence) | $432 | 404% |
| Bcn Domestic | $432 | 404% |
| Blue Shield - Ny Highmark Northeastern | $432 | 404% |
| Wc Domestic | $432 | 404% |
| Blue Shield - Id (Regence) | $432 | 404% |
| Pre-Employment | $432 | 404% |
| Blue Shield - Ca | $432 | 404% |
| Blue Benefit Administrators of Massachusetts | $432 | 404% |
| Connecticare | $537 - $671 | 503% |
| Health New England | $796 | 745% |
| Prime Health Services | $980 | 918% |
| Medi Share | $1,017 | 952% |
| PHCS | $1,017 | 952% |
| Dean Health | $1,017 | 952% |
| Allied National Global Care | $1,017 | 952% |
| Trinity Health Share | $1,017 | 952% |
| Manhattan Life | $1,017 | 952% |
| Pan-American Life | $1,017 | 952% |
| Christian Care Ministry | $1,017 | 952% |
| Paramount HMO | $1,017 | 952% |
| Pai | $1,017 | 952% |
| Family Life Insurance Company | $1,017 | 952% |
| Ghc Scw | $1,017 | 952% |
| Multiplan | $1,017 | 952% |
| International Benefit Administrators | $1,017 | 952% |
| Asrm - Reliance Standard Life Insurance | $1,017 | 952% |
| Lifetime Benefit Solutions | $1,017 | 952% |
| Mvp | $1,017 | 952% |
| Health Smart | $1,041 | 975% |
| United Behavioral Health Eap | $1,225 | 1147% |