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.
Original text from hospital filings
HC CTA PELVIS W/ OR W/O CONTRAST POST PROC
Low
$1
Average
$1.2k
Median
$877
High
$10.1k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
2027 hospitals; the 90th percentile is 12.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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3,708 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $411 | $411 | — | — | 3–30 | $411 – $411 |
| 2 | Duke University Hospital Durham, NC facility · fee schedule · outpatient | 2 | $281 | $281 | $0 | 0% | 2–20 | $281 – $281 |
| 3 | Duke University Hospital Raleigh, NC facility · fee schedule · outpatient | 2 | $281 | $281 | $0 | 0% | 2–20 | $281 – $281 |
| 4 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.2k | $3.2k | — | — | 2–20 | $3.2k – $3.2k |
| 5 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI percent of total billed charges · inpatientfrom % of charges | 1 | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 6 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 7 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 4 | $1.3k | $1.1k | $499 | 47% | 1–10 | $190 – $1.3k |
| 8 | DIGNITY HEALTH Camarillo, CA fee schedule · outpatient | 2 | $660 | $660 | $434 | 66% | 1–10 | $226 – $1.1k |
| 9 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $74 | $74 | — | — | 1–10 | $74 – $74 |
| 10 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $207 | $207 | — | — | 1–10 | $207 – $207 |
| 11 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 12 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $1.2k | $1.2k | $113 | 9% | 1–10 | $1.1k – $1.4k |
| 13 | Methodist Hospitals of Dallas Coppell, TX per diem · both | 4 | $1.3k | $1.3k | $92 | 7% | 1–10 | $1.2k – $1.4k |
| 14 | Methodist Hospitals of Dallas Souhtlake, TX per diem · both | 4 | $1.3k | $1.3k | $92 | 7% | 1–10 | $1.2k – $1.4k |
| 15 | Piedmont Fayette Fayetteville, GA per diem · both | 2 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 16 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 17 | St Josephs Hospital Health Center Syracuse, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 18 | University of Virginia Culpeper Medical Center Culpeper, VA other · both | 1 | $181 | $181 | — | — | 1–10 | $181 – $181 |
| 19 | University of Virginia Haymarket Medical Center Haymarket, VA other · both | 1 | $183 | $183 | — | — | 1–10 | $183 – $183 |
| 20 | University of Virginia Haymarket Medical Center Haymarket, VA per diem · both | 1 | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 21 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $239 | $239 | $78 | 32% | — | $162 – $317 |
| 22 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 23 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 24 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $1.7k | $1.2k | $768 | 65% | — | $101 – $1.7k |
| 25 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $1.1k | $1.1k | $809 | 72% | — | $310 – $1.9k |
← Payers reporting CPT 72191 · Snapshot 20261112T124536Z-e251e855