CT scan, pelvis
Facility: Physicians Care Surgical Hospital
Billing Code: 72192 (CPT)
- CPT Billing Code: 72192
- Insurance Median: $394
- Cash Discount Price: $292
- vs. Medicare Baseline: 3.69x 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 369% of the Medicare baseline (a markup of 269%). 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 |
|---|---|---|
| Connecticare | $124 | 116% |
| Highmark | $194 | 182% |
| Blue Cross Blue Shield | $194 - $394 | 182% |
| Medicare (plans) | $365 | 342% |
| Tricare | $365 | 342% |
| Shenandoah Life | $365 | 342% |
| Gpm Health and Life Insurance Mc Supplement | $365 | 342% |
| UnitedHealthcare | $365 - $774 | 342% |
| Keystone 65 HMO | $365 | 342% |
| Aarp | $365 | 342% |
| Pcsh Aarp | $365 | 342% |
| Cigna | $365 | 342% |
| Aetna | $365 - $936 | 342% |
| Vibra Health Plan | $365 | 342% |
| Personal Choice 65 | $365 | 342% |
| Devon Health Services | $365 | 342% |
| Humana | $365 | 342% |
| Unified Health Services | $365 | 342% |
| Ibc Security 65 | $365 | 342% |
| Keystone HMO | $394 | 369% |
| Ibc - Local | $394 | 369% |
| Independence Administrators | $394 | 369% |
| Personal Choice | $394 | 369% |
| Independence Federal | $394 | 369% |
| Ibc 2021 | $394 | 369% |
| Keystone Healthplan East | $394 | 369% |
| Amerihealth Administrators | $394 | 369% |
| Pcsh Ibc | $394 | 369% |
| Amerihealth New Jersey HMO | $394 | 369% |
| Keystone Direct POS | $394 | 369% |
| Horizon of New Jersey | $394 | 369% |
| Empire Plan | $394 | 369% |
| Carefirst Administrators | $394 | 369% |
| Regence Blue Shield | $394 | 369% |
| Independence Bc | $394 | 369% |
| Ibc Local | $394 | 369% |
| Ibc | $394 | 369% |
| Allsavers | $774 | 725% |
| Oxford Life Insurance Company | $774 | 725% |
| Oxford Health Plan | $774 | 725% |
| Surest | $774 | 725% |
| Golden Rule Op | $774 | 725% |
| Healthez | $936 | 876% |
| Marpai Health | $936 | 876% |
| Allied Benefit Systems | $936 | 876% |
| Premier Care Network | $936 | 876% |
| Lucent Health | $936 | 876% |
| Ag Administrators Inc | $936 | 876% |
| Continental Benefits | $936 | 876% |
| Ag Administrators | $936 | 876% |
| Trustmark | $936 | 876% |
| Meritain Health | $936 | 876% |
| Allied Benefits Systems | $936 | 876% |
| Geha | $936 | 876% |
| Coventry | $936 | 876% |