How much does Medicare pay for CPT 72192?

Medicare allowed an average of $53.35 per service and paid $40.46 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $308.39, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 72192?

Ct scan of pelvis without contrast. It was billed 124,947 times to 123,869 Medicare beneficiaries by 5,599 providers in 2024.

Does 72192 pay differently in an office than a hospital?

Yes. The allowed amount averaged $102.31 in an office setting and $50.58 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 72192 most?

Diagnostic Radiology, with 119,847 services from 5,344 clinicians. Next are Interventional Radiology, Independent Diagnostic Testing Facility (IDTF), Orthopedic Surgery.

CPT 72192

Ct scan of pelvis without contrast

$53.35Medicare-allowed amount per service, averaged across 124,947 services

Providers submitted

$308.39

Asking price, not received

Medicare allowed

$53.35

The fee schedule figure

Medicare paid

$40.46

Balance is patient coinsurance

Providers submitted an average of $308.39 for this code and Medicare allowed $53.35 — 5.8× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $40.46 (76%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $102.31
Hospital / facility: $50.58

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 6,707 services were billed in an office setting and 118,240 in a facility.

Services: 124,947
Beneficiaries: 123,869
Providers billing it: 5,599
Total allowed: $6,665,922

What Medicare pays for CPT 72192

Across 124,947 services billed by 5,599 providers to 123,869 beneficiaries, Medicare allowed an average of $53.35 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 72192

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	119,847	118,885	$52.66	5,344
Interventional Radiology	2,911	2,886	$51.31	140
Independent Diagnostic Testing Facility (IDTF)	1,187	1,133	$108.53	62
Orthopedic Surgery	226	220	$77.42	9
Urology	150	147	$101.23	7
Internal Medicine	130	125	$105.26	6
Radiation Oncology	76	76	$49.02	4
Emergency Medicine	65	65	$85.42	5
Neurosurgery	64	48	$72.99	3
Nuclear Medicine	47	47	$50.13	3
Family Practice	41	40	$49.95	3
Vascular Surgery	33	33	$49.07	2
Interventional Pain Management	21	21	$51.05	1
Osteopathic Manipulative Medicine	21	21	$49.46	1
Physical Medicine and Rehabilitation	18	18	$69.54	1

72192 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Texas	12,458	$53.15	$39.56	536
Florida	12,355	$57.55	$41.86	461
California	11,483	$58.75	$40.01	559
New York	6,835	$57.62	$38.26	238
Minnesota	5,642	$53.27	$38.86	259
Illinois	4,344	$52.20	$37.36	204
Virginia	4,100	$51.56	$37.64	141
North Carolina	4,091	$50.63	$38.08	162
Missouri	3,888	$51.15	$38.50	160
Georgia	3,522	$50.93	$37.77	171
Ohio	3,372	$49.85	$36.62	155
Maryland	2,910	$55.52	$38.61	120
Colorado	2,850	$53.50	$37.75	119
Arizona	2,830	$54.39	$40.10	126
Massachusetts	2,808	$52.91	$36.73	135
Oklahoma	2,801	$50.22	$37.46	122
Washington	2,667	$52.87	$36.58	107
Alabama	2,651	$48.20	$36.38	140
Indiana	2,210	$49.65	$37.38	104
Mississippi	2,129	$49.28	$37.71	101
Michigan	2,121	$50.80	$36.72	98
Pennsylvania	2,116	$52.20	$37.49	115
Kansas	1,989	$48.62	$37.32	91
Kentucky	1,986	$48.98	$37.06	85
Tennessee	1,955	$49.41	$36.97	115
Arkansas	1,854	$49.09	$38.49	92
New Jersey	1,805	$61.90	$42.28	89
Louisiana	1,734	$54.21	$41.04	88
Nebraska	1,315	$48.20	$37.48	54
Iowa	1,179	$50.90	$38.24	54
South Carolina	1,178	$49.61	$37.38	70
Connecticut	1,034	$54.82	$38.54	53
Nevada	930	$52.56	$39.25	50
Wisconsin	842	$51.87	$38.19	49
Oregon	690	$49.52	$36.57	32
Utah	653	$51.79	$38.30	31
Idaho	562	$48.29	$35.16	30
New Hampshire	552	$50.88	$37.18	28
New Mexico	548	$49.55	$35.90	30
West Virginia	451	$48.45	$35.80	29
Montana	422	$49.90	$35.71	25
Wyoming	372	$55.75	$40.73	20
District of Columbia	355	$52.97	$36.95	17
Rhode Island	335	$51.17	$36.46	19
Maine	322	$51.11	$35.57	19
Alaska	283	$63.28	$35.53	15
North Dakota	276	$48.95	$37.34	18
Hawaii	267	$50.53	$36.39	17
Delaware	258	$53.58	$39.11	13
South Dakota	252	$48.81	$35.60	14
Vermont	234	$48.66	$36.05	12
Puerto Rico	72	$50.39	$36.95	4
AA	48	$49.46	$36.63	2
AP	11	$50.18	$38.57	1

Related codes

72125Ct scan of upper spine without contrast$46.99
72100X-ray of lower and sacral spine$23.76
72148Mri scan of lower spinal canal without contrast$116.92
72110X-ray of lower and sacral spine$34.78
72170X-ray of pelvis$13.01
72141Mri scan of upper spinal canal without contrast$108.96
72131Ct scan of lower spine without contrast$53.06
72197Mri scan of pelvis before and after contrast$191.31
72146Mri scan of middle spinal canal without contrast$99.42
72128Ct scan of middle spine without contrast$46.63
72158Mri scan of lower spinal canal before and after contrast$149.73
72156Mri scan of upper spinal canal before and after contrast$142.72

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.