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
$102
Average
$987
Median
$548
High
$4.2k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
121 hospitals; the 90th percentile is 18.0× 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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220 hospital rates
iThe hospitals that file a Wellmark 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 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $313 | $313 | — | — | 32 | $313 – $313 |
| 2 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $171 | $171 | — | — | 22 | $171 – $171 |
| 3 | Avera Holy Family Hospital Estherville, IA case rate · outpatient | 2 | $173 | $173 | — | — | 2–20 | $173 – $173 |
| 4 | Avera Merrill Pioneer Rock Rapids, IA case rate · outpatient | 2 | $186 | $186 | — | — | 2–20 | $186 – $186 |
| 5 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $1.6k | $1.6k | — | — | 2–20 | $1.6k – $1.6k |
| 6 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.2k | $613 | 53% | 2–20 | $554 – $1.8k |
| 7 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.3k | $725 | 56% | 2–20 | $577 – $2.0k |
| 8 | Regional Health Services of Howard County Cresco, IA case rate · outpatient | 2 | $172 | $172 | — | — | 2–20 | $172 – $172 |
| 9 | Sanford Sheldon Medical Center Sheldon, IA other · outpatient | 2 | $506 | $506 | $350 | 69% | 2–20 | $156 – $856 |
| 10 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 2 | $329 | $329 | $16 | 5% | 2–20 | $313 – $344 |
| 11 | Avera Gregory Hospital Gregory, SD outpatient | 1 | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 12 | Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges | 1 | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 13 | Avera Missouri River Health Center Gettysburg, SD outpatient | 1 | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 14 | Avera Missouri River Health Center Gettysburg, SD percent of total billed charges · outpatientfrom % of charges | 1 | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 15 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $192 | $192 | — | — | 1–10 | $192 – $192 |
| 16 | Avera Queen of Peace Mitchell, SD case rate · outpatient | 1 | $192 | $192 | — | — | 1–10 | $192 – $192 |
| 17 | Avera Sacred Heart Hospital Yankton, SD outpatient | 1 | $144 | $144 | — | — | 1–10 | $144 – $144 |
| 18 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 1 | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 19 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $4.2k | $4.2k | — | — | 1–10 | $4.2k – $4.2k |
| 20 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $4.2k | $4.2k | — | — | 1–10 | $4.2k – $4.2k |
| 21 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $4.2k | $4.2k | — | — | 1–10 | $4.2k – $4.2k |
| 22 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $4.2k | $4.2k | — | — | 1–10 | $4.2k – $4.2k |
| 23 | Grundy County Memorial Hospital Grundy Center, IA facility · other · outpatient | 1 | $344 | $344 | — | — | 1–10 | $344 – $344 |
| 24 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · both | 1 | $112 | $112 | — | — | 1–10 | $112 – $112 |
| 25 | Pella Regional Health Center Pella, IA other · outpatient | 1 | $344 | $344 | — | — | 1–10 | $344 – $344 |
← Payers reporting CPT 72192 · Snapshot 20261111T120946Z-9134e7f7