CT scan, pelvis
Facility: Regional Medical Center
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $870
- Cash Discount Price: $1,249
- vs. Medicare Baseline: 8.15x 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 815% of the Medicare baseline (a markup of 715%). 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 |
|---|---|---|
| Medical Associates Health Plan - Tri | $870 | 815% |
Consumer Guidance & Cost Commentary
Regional Medical Center in Manchester, Iowa, offers a CT scan of the pelvis (CPT 72192) with a cash median price of $1,249 and a negotiated rate of $870 through Medical Associates Health Plan - Tri. While the facility is a government-owned Critical Access Hospital with a high rating of 4, the cash price remains significantly higher than the median paid amount of $579. For patients with high-deductible plans, paying the cash rate of $1,249 upfront may be more cost-effective than relying on insurance, which could result in a higher out-of-pocket expense depending on the specific plan structure.
To ensure you receive the best possible rate, it is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can reduce the final bill by 20% to 50%. Additionally, if you have insurance, remember that commercial negotiated rates often include administrative overhead, making the cash price a viable alternative if your deductible has not yet been met. Always request an itemized bill to verify that all charges are accurate and to identify any potential errors before finalizing payment.