CMS Price Transparency Data

CT scan, pelvis

Facility: Vidant Roanoke Chowan Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $2,319
Cash Discount Price: $2,098
vs. Medicare Baseline: 21.71x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Vidant Roanoke Chowan Hospital is $2,319. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,098. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 21.71x the Medicare baseline. Located in 500 S Academy St, Ahoskie, NC.

Cash / Self-Pay

$2,098

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,319

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: $2,098 (1964%)

Insurance Median: $2,319 (2171%)

Cash: $2,098 (1964% of Medicare)

Ins. Median: $2,319 (2171% 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 2171% of the Medicare baseline (a markup of 2071%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

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	$107 - $2,049	100%
Humana	$107	100%
UnitedHealthcare	$109 - $2,068	102%
Liberty Advantage [1313]	$112	105%
Aetna	$112 - $3,065	105%
Longevity Health [1411]	$139	130%
Carolina Complete Health [1317]	$930	871%
Wellcare [1320]	$934	874%
Amerihealth McAid Adv [1316]	$939	879%
Nc Dept of Public Safety [1095]	$1,364	1277%
Medcost [1067]	$2,319 - $2,443	2171%
Cigna	$3,185 - $3,597	2982%
Multiplan [1031]	$3,560	3333%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,098.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72192.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Vidant Roanoke Chowan Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72192.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.