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CT pelvis without contrast
CPT 72192 · negotiated-rate distribution across hospitals in ID
Hospitals
1
Min
$488.88
Median
$488.88
Max
$488.88
Range multiplier
1.0×
By payer (9 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield | 1 | 2 | $300.05 | $377.96 | $455.86 | 1.5× |
| Aetna | 1 | 1 | $494.7 | $494.7 | $494.7 | 1.0× |
| dmba | 1 | 1 | $506.34 | $506.34 | $506.34 | 1.0× |
| first choice | 1 | 1 | $500.52 | $500.52 | $500.52 | 1.0× |
| mountain health co-op | 1 | 1 | $465.6 | $465.6 | $465.6 | 1.0× |
| Multiplan | 1 | 1 | $436.5 | $436.5 | $436.5 | 1.0× |
| three rivers | 1 | 1 | $523.8 | $523.8 | $523.8 | 1.0× |
| acpn | 1 | 1 | $494.7 | $494.7 | $494.7 | 1.0× |
| UnitedHealthcare | 1 | 1 | $483.06 | $483.06 | $483.06 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| MOUNTAIN VIEW HOSPITAL | IDAHO FALLS | ID | 9 | $582 | $407.4 | $300.05 | $488.88 | $523.8 |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.