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 CT PELVIS W/O CONTRAST
Low
$1
Average
$479
Median
$161
High
$5.1k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
849 hospitals; the 90th percentile is 13.3× 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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1,189 hospital rates
iThe hospitals that file a Molina 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 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $131 | $131 | $47 | 36% | 15–24 | $83 – $178 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $381 | $381 | — | — | 14 | $381 – $381 |
| 3 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $203 | $203 | — | — | 13 | $203 – $203 |
| 4 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 1 | $57 | $57 | — | — | 2–20 | $57 – $57 |
| 5 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · outpatient | 1 | $57 | $57 | — | — | 2–20 | $57 – $57 |
| 6 | Navarro Hospital LP Corsicana, TX facility · other · outpatient | 4 | $248 | $253 | $132 | 52% | 2–20 | $109 – $409 |
| 7 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 3 | $84 | $85 | $35 | 41% | 2–20 | $46 – $124 |
| 8 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 1 | $921 | $921 | $3 | 0% | 2–20 | $918 – $923 |
| 9 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS fee schedule · outpatient | 2 | $131 | $131 | $47 | 36% | 2–20 | $83 – $178 |
| 10 | St. Joseph Medical Center Bellingham, WA facility · other · outpatient | 2 | $130 | $110 | $25 | 22% | 2–20 | $80 – $130 |
| 11 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT fee schedule · outpatient | 2 | $358 | $358 | $14 | 4% | 2–20 | $344 – $372 |
| 12 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 2 | $252 | $429 | $371 | 87% | 2–20 | $216 – $1.2k |
| 13 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $491 | $491 | — | — | 1–10 | $491 – $491 |
| 14 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 1 | $434 | $434 | — | — | 1–10 | $434 – $434 |
| 15 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $578 | $578 | — | — | 1–10 | $578 – $578 |
| 16 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $475 | $475 | — | — | 1–10 | $475 – $475 |
| 17 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $985 | $985 | — | — | 1–10 | $985 – $985 |
| 18 | Adena Health System Chillicothe, OH facility · other · outpatient | 1 | $211 | $211 | — | — | 1–10 | $211 – $211 |
| 19 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $689 | $689 | — | — | 1–10 | $689 – $689 |
| 20 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $543 | $543 | — | — | 1–10 | $543 – $543 |
| 21 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $277 | $277 | — | — | 1–10 | $277 – $277 |
| 22 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $312 | $312 | — | — | 1–10 | $312 – $312 |
| 23 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $312 | $312 | — | — | 1–10 | $312 – $312 |
| 24 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $312 | $312 | — | — | 1–10 | $312 – $312 |
| 25 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $277 | $277 | — | — | 1–10 | $277 – $277 |
← Payers reporting CPT 72192 · Snapshot 20261111T120946Z-9134e7f7