CT scan of pelvis with and without contrast dye

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC CTA PELVIS W/ OR W/O CONTRAST POST PROC

Payers reporting CPT 72191

Payer pricing summary

Low

$178

Average

$1.1k

Median

$842

High

$4.2k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Medicare other · both · +21 other terms	43	$186	$251	$329	131%	20–74	$163 – $2.5k
2	Anthem fee schedule · outpatient · +34 other terms	207	$564	$514	$573	112%	4–40	$4 – $7.7k
3	Bcbs Al facility · other · outpatient · +4 other terms	4	$550	$522	$110	21%	3–30	$406 – $667
4	Aetna fee schedule · outpatient · +39 other terms	620	$358	$797	$904	113%	2–20	$1 – $8.4k
5	Blue Cross Blue Shield fee schedule · outpatient · +36 other terms	519	$477	$698	$965	138%	2–20	$1 – $17.3k
6	Humana fee schedule · outpatient · +34 other terms	433	$219	$551	$738	134%	2–20	$1 – $3.8k
7	Cigna fee schedule · outpatient · +33 other terms	352	$557	$772	$839	109%	1–10	$47 – $10.5k
8	Kaiser fee schedule · outpatient · +27 other terms	112	$376	$693	$1.0k	148%	1–10	$84 – $6.5k
9	First Health fee schedule · outpatient · +23 other terms	64	$509	$1.1k	$1.5k	145%	1–10	$100 – $6.7k
10	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$409	$409	—	—	1–10	$409 – $409
11	UnitedHealthcare fee schedule · outpatient · +38 other terms	777	$353	$435	$475	109%	—	$1 – $5.2k
12	Molina fee schedule · outpatient · +34 other terms	259	$230	$257	$164	64%	—	$1 – $2.0k
13	WellCare fee schedule · outpatient · +27 other terms	188	$190	$236	$158	67%	—	$67 – $1.4k
14	MultiPlan fee schedule · outpatient · +24 other terms	131	$2.3k	$1.9k	$1.7k	89%	—	$109 – $6.9k
15	Ambetter fee schedule · outpatient · +25 other terms	117	$296	$299	$259	87%	—	$39 – $2.0k
16	Devoted facility · fee schedule · outpatient · +19 other terms	105	$176	$201	$314	156%	—	$156 – $4.9k
17	Caresource fee schedule · outpatient · +22 other terms	88	$267	$454	$359	79%	—	$1 – $1.6k
18	Tricare facility · fee schedule · outpatient · +21 other terms	88	$176	$224	$373	166%	—	$49 – $4.6k
19	Aetna Better Health fee schedule · outpatient · +19 other terms	84	$195	$224	$137	61%	—	$93 – $999
20	Highmark facility · fee schedule · outpatient · +23 other terms	74	$323	$499	$618	124%	—	$62 – $3.2k
21	Oscar facility · fee schedule · outpatient · +23 other terms	69	$277	$282	$74	26%	—	$163 – $428
22	Optum facility · fee schedule · outpatient · +24 other terms	62	$170	$187	$105	56%	—	$156 – $1.1k
23	Amerihealth Caritas facility · fee schedule · outpatient · +18 other terms	56	$344	$355	$181	51%	—	$170 – $1.1k
24	Medicaid facility · fee schedule · outpatient · +19 other terms	56	$212	$241	$122	50%	—	$152 – $621
25	Medica fee schedule · outpatient · +26 other terms	43	$624	$1.1k	$1.0k	89%	—	$68 – $3.7k

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