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

Medicare pricing summary

Low

$52

Average

$262

Median

$110

High

$2.3k

Medicare rate distribution

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261 hospital rates

#		Plans
1	STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient	1	$94	$94	—	—	114	$94 – $94
2	Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges	1	$134	$134	—	—	63	$134 – $134
3	Brigham and Women's Hospital Boston, MA other · both	1	$126	$126	—	—	48	$126 – $126
4	OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS other · outpatient	1	$90	$90	—	—	47	$90 – $90
5	Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient	1	$97	$97	—	—	30	$97 – $97
6	DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient	1	$110	$110	—	—	29	$110 – $110
7	John Muir Health Walnut Creek, CA other · both	3	$148	$148	—	—	28	$148 – $148
8	Massachusetts General Hospital Boston, MA other · both	1	$126	$126	—	—	28	$126 – $126
9	CLEVELAND AREA HOSPITAL CLEVELAND, OK other · outpatient	1	$610	$610	—	—	25	$610 – $610
10	Eisenhower Medical Center Rancho Mirage, CA other · both	4	$134	$134	—	—	25–34	$134 – $134
11	ONEIDA HEALTH ONEIDA, NY other · outpatient	1	$131	$131	—	—	23	$131 – $131
12	Brigham and Women's Faulkner Hospital Boston, MA other · both	1	$126	$126	—	—	21	$126 – $126
13	Boston Medical Center Boston, MA other · both	1	$121	$121	—	—	19	$121 – $121
14	VALLEY REGIONAL HOSPITAL CLAREMONT, NH percent of total billed charges · bothfrom % of charges	1	$898	$898	—	—	18	$898 – $898
15	Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · other · outpatient	1	$103	$103	—	—	17	$103 – $103
16	CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · inpatient	1	$98	$98	—	—	16	$98 – $98
17	Cooley Dickinson Hospital Northampton, MA other · both	1	$126	$126	—	—	15	$126 – $126
18	Mercy Hospital Ada Inc Ada, OK facility · other · outpatient	1	$104	$104	—	—	15	$104 – $104
19	PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC other · both	1	$100	$100	—	—	14	$100 – $100
20	Mercy Hospital Springfield Ozark, MO facility · other · outpatient	1	$103	$103	—	—	13	$103 – $103
21	Mercy Hospital Springfield Springfield, MO facility · other · outpatient	1	$103	$103	—	—	13	$103 – $103
22	Salem Hospital Salem, MA other · both	1	$126	$126	—	—	13	$126 – $126
23	Anderson Hospital Maryville, IL professional · other · outpatient	1	$125	$125	—	—	12	$125 – $125
24	CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO other · inpatient	1	$90	$90	—	—	12	$90 – $90
25	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN other · both	2	$111	$111	—	—	12	$111 – $111

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CPT 72192