CT scan of pelvis without contrast

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 CT PELVIS W/O CONTRAST

Payers reporting CPT 72192

Payer pricing summary

Low

$88

Average

$1.2k

Median

$663

High

$12.9k

Payer rate distribution

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#
1	Medicare other · both · +22 other terms	51	$111	$164	$212	129%	273–534	$97 – $1.3k
2	Anthem fee schedule · outpatient · +35 other terms	225	$362	$345	$492	143%	138–372	$2 – $7.7k
3	Aetna fee schedule · outpatient · +39 other terms	651	$190	$577	$646	112%	60–357	$1 – $7.4k
4	Bcbs Al facility · other · outpatient · +4 other terms	6	$158	$138	$58	42%	56–128	$68 – $201
5	UnitedHealthcare fee schedule · outpatient · +39 other terms	817	$203	$304	$431	141%	55–226	$1 – $3.7k
6	Blue Cross Blue Shield fee schedule · outpatient · +38 other terms	550	$278	$415	$551	133%	54–234	$1 – $9.9k
7	Humana fee schedule · outpatient · +35 other terms	466	$125	$330	$470	143%	34–106	$1 – $4.0k
8	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$244	$244	—	—	34	$244 – $244
9	WellCare fee schedule · outpatient · +28 other terms	209	$114	$157	$127	81%	29	$40 – $935
10	Molina fee schedule · outpatient · +35 other terms	267	$128	$153	$115	75%	25–124	$1 – $1.6k
11	Cigna fee schedule · outpatient · +35 other terms	373	$293	$658	$756	115%	24–105	$28 – $7.6k
12	First Health fee schedule · outpatient · +23 other terms	64	$683	$1.1k	$1.6k	150%	16–25	$61 – $7.1k
13	Bcbs In other · both · +1 other terms	11	$381	$394	$62	16%	3–30	$254 – $507
14	Kaiser fee schedule · outpatient · +29 other terms	112	$223	$458	$777	170%	2–20	$51 – $5.5k
15	Bcbs Ar fee schedule · both	1	$106	$106	—	—	2–20	$106 – $106
16	Aetna Better Health fee schedule · outpatient · +19 other terms	90	$115	$126	$56	44%	1–10	$56 – $385
17	Medica fee schedule · outpatient · +28 other terms	83	$597	$705	$787	112%	1–10	$41 – $3.1k
18	Florida Blue fee schedule · outpatient · +2 other terms	1	$1.1k	$1.1k	$264	25%	1–10	$810 – $1.5k
19	MultiPlan fee schedule · outpatient · +24 other terms	138	$1.7k	$1.7k	$1.6k	97%	—	$1 – $8.2k
20	Ambetter fee schedule · outpatient · +26 other terms	123	$169	$179	$196	109%	—	$43 – $1.7k
21	Devoted facility · fee schedule · outpatient · +20 other terms	114	$105	$126	$292	231%	—	$90 – $4.9k
22	Tricare facility · fee schedule · outpatient · +21 other terms	99	$105	$164	$384	234%	—	$49 – $4.6k
23	Caresource fee schedule · outpatient · +23 other terms	97	$159	$237	$182	77%	—	$1 – $951
24	Highmark facility · fee schedule · outpatient · +23 other terms	82	$170	$294	$398	135%	—	$39 – $2.1k
25	Optum facility · fee schedule · outpatient · +26 other terms	70	$102	$113	$63	56%	—	$90 – $672

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