72192

Ct scan of pelvis without contrast

Medicare pricing data for 27,017 providers across 52 states

🤖AI Overview

This procedure has a 5.5x markup — hospitals charge $319.92 but Medicare allows only $57.92. Uninsured patients may face bills 5.5 times higher than what insurance negotiates. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Ct scan of pelvis without contrast (HCPCS code 72192) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $57.92, but hospitals typically charge $319.92 — a 5.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$11.58

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $57.92, your out-of-pocket cost would be approximately $11.58. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$57.92
Average Hospital Charge
$319.92
Markup Ratio
5.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$319.92
Medicare Allowed$57.92
Medicare Payment$44.13

Hospitals charge 5.5x more than what Medicare allows for this procedure. Medicare actually pays $44.13 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$76$47272428+30.5%
New Jersey$69$3677234,234+18.5%
California$66$3602,50217,099+14.2%
Wyoming$66$41158469+14.0%
Maryland$66$2755684,264+13.7%
New York$64$3091,53910,445+10.9%
Connecticut$64$2973912,112+10.8%
Florida$63$3991,88816,795+8.8%
District of Columbia$62$28278556+7.0%
Puerto Rico$61$17858192+5.5%
Arizona$61$4375043,659+5.1%
Delaware$59$28580586+2.6%
Nevada$58$4102201,346+0.8%
Rhode Island$58$285119729+0.3%
Hawaii$57$271108555-0.8%
Washington$57$2485623,982-1.2%
Colorado$57$3295024,098-1.3%
Minnesota$57$3329648,221-1.3%
Texas$57$4091,92316,460-1.8%
South Dakota$57$23097551-2.2%
Virginia$56$2686625,464-2.6%
Massachusetts$56$2297074,440-3.0%
Louisiana$56$2923602,661-3.6%
Illinois$55$3181,1387,024-4.5%
Pennsylvania$55$2591,2145,395-5.3%
Oregon$55$2343091,737-5.4%
New Mexico$55$292156971-5.5%
Georgia$55$3547785,134-5.7%
Missouri$54$2656525,486-6.3%
South Carolina$54$3184202,403-6.6%
Tennessee$54$3086643,901-6.6%
Utah$54$2102061,343-6.9%
New Hampshire$54$4211571,063-7.1%
Wisconsin$54$4736172,795-7.3%
Iowa$54$2552661,612-7.4%
Montana$54$22291747-7.4%
Michigan$54$2437304,398-7.4%
North Carolina$54$2989425,860-7.5%
Kansas$53$2172392,200-7.7%
North Dakota$53$22889478-7.9%
Maine$53$224131663-8.3%
Ohio$53$3179295,464-8.8%
Alabama$53$2284223,538-9.0%
Indiana$53$2475423,600-9.2%
Idaho$52$323151993-9.7%
Nebraska$52$2292051,785-10.1%
Kentucky$52$2183032,654-10.6%
Oklahoma$51$2952763,348-11.1%
Mississippi$51$2882242,374-11.2%
West Virginia$51$2501341,020-12.6%
Arkansas$51$1952702,561-12.7%
Vermont$50$26943361-12.8%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber