CMS Price Transparency Data
CT scan, pelvis
Facility: Bmh-Calhoun
Billing Code: 72192 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72192
- Insurance Median: $1,462
- Cash Discount Price: $1,251
- vs. Medicare Baseline: 13.69x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Bmh-Calhoun is $1,462. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,251. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.69x the Medicare baseline. Located in 140 Burke-Calhoun City Road, Calhoun City, MS.
Cash / Self-Pay
$1,251
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,462
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$106.81
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,251 (1171%)
Insurance Median: $1,462 (1369%)
Cash: $1,251 (1171% of Medicare)
Ins. Median: $1,462 (1369% of 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 1369% of the Medicare baseline (a markup of 1269%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Veterans Evaluation Services | $106 | 99% |
| Molina | $108 - $2,324 | 101% |
| PPO Holdings | $718 - $1,110 | 672% |
| Magnolia Regional Health Center | $756 - $1,168 | 708% |
| Tricare | $772 - $1,193 | 723% |
| Ms Breast and Cervical | $812 - $1,256 | 760% |
| Vaccn | $812 - $1,256 | 760% |
| Triwest | $812 - $1,256 | 760% |
| Devoted Health | $829 - $1,281 | 776% |
| Blue Cross Blue Shield | $837 - $2,337 | 784% |
| Primewell | $853 - $1,319 | 799% |
| Shared Health | $853 - $1,319 | 799% |
| Aetna | $853 - $1,899 | 799% |
| Humana | $853 - $2,337 | 799% |
| American Health Plan | $853 - $1,319 | 799% |
| Magnolia Ms | $926 - $1,431 | 867% |
| Littler | $944 - $1,460 | 884% |
| Cigna | $1,039 - $1,607 | 973% |
| First Choice Health Plan of Ms | $1,218 - $1,884 | 1140% |
| Burch Food Services | $1,381 - $2,135 | 1293% |
| First State Bank Trust | $1,381 - $2,135 | 1293% |
| Rei Nation | $1,462 - $2,261 | 1369% |
| Building Plastic | $1,462 - $2,261 | 1369% |
| Mechanical Systems | $1,462 - $2,261 | 1369% |
| Dunn Investment Company | $1,462 - $2,261 | 1369% |
| Eas Mssc Schools | $1,462 - $2,261 | 1369% |
| State Systems | $1,462 - $2,261 | 1369% |
| Gossett Motor Cars | $1,462 - $2,261 | 1369% |
| Brimhall Foods | $1,462 - $2,261 | 1369% |
| Hospitality Management Advisors | $1,462 - $2,261 | 1369% |
| Desoto Co Board of Supervisors | $1,462 - $2,261 | 1369% |
| Delta Industries | $1,462 - $2,261 | 1369% |
| Crittenden County | $1,462 - $2,261 | 1369% |
| Security One | $1,462 - $2,261 | 1369% |
| Collierville Schools | $1,462 - $2,261 | 1369% |
| City of Bartlett | $1,462 - $2,261 | 1369% |
| City of Lakeland | $1,462 - $2,261 | 1369% |
| Minact | $1,462 - $2,261 | 1369% |
| W W Wood Products | $1,462 - $2,261 | 1369% |
| Carlisle | $1,462 - $2,261 | 1369% |
| Ashley Furniture Stores | $1,462 - $2,261 | 1369% |
| Town of Collierville | $1,462 - $2,261 | 1369% |
| Lakeland School System | $1,462 - $2,261 | 1369% |
| Armstrong Relocation | $1,462 - $2,261 | 1369% |
| First Community Bank | $1,462 - $2,261 | 1369% |
| Mid-South Transport | $1,462 - $2,261 | 1369% |
| Arlington Community Schools | $1,462 - $2,261 | 1369% |
| Cannon Motor Company | $1,462 - $2,261 | 1369% |
| Watkins Uiberall | $1,462 - $2,261 | 1369% |
| Y K Auto Group | $1,462 - $2,261 | 1369% |
| Heartland Catfish Company | $1,462 - $2,261 | 1369% |
| United Tn Holdings | $1,462 - $2,261 | 1369% |
| Hollowell Industries | $1,462 - $2,261 | 1369% |
| Malco Theaters | $1,462 - $2,261 | 1369% |
| Ritchey Automotive | $1,462 - $2,261 | 1369% |
| Davidson Hospitality | $1,462 - $2,261 | 1369% |
| French Camp Academy | $1,462 - $2,261 | 1369% |
| Retzer Resources | $1,462 - $2,261 | 1369% |
| Patterson Warehouses | $1,462 - $2,261 | 1369% |
| Radians | $1,462 - $2,261 | 1369% |
| Jas D Collier | $1,462 - $2,261 | 1369% |
| Silver Tree | $1,462 - $2,261 | 1369% |
| W G Yates | $1,462 - $2,261 | 1369% |
| Bartlett City Schools | $1,462 - $2,261 | 1369% |
| Hattiesburg Clinic | $1,462 - $2,261 | 1369% |
| Vaughn Electric | $1,462 - $2,261 | 1369% |
| Heavy Machines | $1,462 - $2,261 | 1369% |
| Advanced Health Systems Inc. | $1,511 - $2,337 | 1415% |
| Christian Health Aid | $1,511 - $2,337 | 1415% |
| PPO Plus | $1,606 - $2,483 | 1504% |
| Employers Health Network | $1,625 - $2,512 | 1521% |
| Harding Academy | $1,625 - $2,512 | 1521% |
| Qca | $1,700 - $2,629 | 1592% |
| Multiplan | $1,700 - $2,629 | 1592% |