CT scan of pelvis with contrast dye

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/CONTRAST

Payers reporting CPT 72193

72 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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1	UnitedHealthcare fee schedule · outpatient · +39 other terms	814	$345.30	$432.24	$1.00 – $17,603
2	Aetna fee schedule · outpatient · +39 other terms	646	$357.80	$724.42	$0.51 – $9,567
3	Blue Cross Blue Shield fee schedule · outpatient · +38 other terms	546	$426.97	$572.40	$1.00 – $11,009
4	Humana fee schedule · outpatient · +35 other terms	460	$214.33	$472.28	$1.00 – $6,917
5	Cigna fee schedule · outpatient · +35 other terms	375	$545.40	$775.07	$30.26 – $9,848
6	Molina fee schedule · outpatient · +35 other terms	267	$223.95	$249.04	$1.05 – $1,958
7	Anthem fee schedule · outpatient · +36 other terms	221	$542.00	$448.47	$4.14 – $7,739
8	WellCare fee schedule · outpatient · +28 other terms	208	$190.13	$223.08	$43.35 – $1,277
9	MultiPlan fee schedule · outpatient · +25 other terms	136	$2,157	$2,355	$70.56 – $15,763
10	Ambetter fee schedule · outpatient · +26 other terms	122	$291.97	$281.58	$30.80 – $2,209
11	Devoted facility · fee schedule · outpatient · +20 other terms	113	$175.93	$203.07	$151.72 – $4,872
12	Kaiser fee schedule · outpatient · +29 other terms	113	$372.25	$695.65	$1.00 – $6,653
13	Tricare facility · fee schedule · outpatient · +21 other terms	97	$176.20	$255.79	$48.95 – $4,582
14	Caresource fee schedule · outpatient · +22 other terms	95	$268.76	$350.99	$1.08 – $1,150
15	Aetna Better Health fee schedule · outpatient · +19 other terms	88	$194.77	$210.23	$93.26 – $645.32
16	Highmark facility · fee schedule · outpatient · +24 other terms	77	$272.96	$416.01	$40.92 – $3,188
17	Medica fee schedule · outpatient · +28 other terms	73	$593.33	$939.61	$44.22 – $3,386
18	Optum facility · fee schedule · outpatient · +27 other terms	70	$170.69	$189.56	$151.17 – $1,127
19	Oscar facility · fee schedule · outpatient · +23 other terms	69	$276.54	$268.93	$162.55 – $338.06
20	First Health fee schedule · outpatient · +24 other terms	64	$884.43	$1,539	$65.14 – $13,841
21	Medicaid facility · fee schedule · outpatient · +19 other terms	63	$175.06	$197.05	$86.50 – $385.70
22	Amerihealth Caritas facility · fee schedule · outpatient · +19 other terms	57	$177.91	$241.56	$86.50 – $692.90
23	Medicare other · both · +22 other terms	51	$185.58	$271.92	$163.01 – $2,060
24	Cigna Healthspring fee schedule · outpatient · +11 other terms	43	$183.81	$196.41	$162.83 – $355.37
25	Clover facility · fee schedule · outpatient · +15 other terms	36	$184.73	$180.62	$152.68 – $209.65

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