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 SCAN OF PELVIS COMBO - CT PELVIS W WO CONTRA
Low
$1
Average
$2.5k
Median
$947
High
$2670.8k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
2134 hospitals; the 90th percentile is 13.5× 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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3,890 hospital rates
iThe hospitals that file a Aetna 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 | Higgins General Hospital Bremen, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $865 | $865 | — | — | 3–30 | $865 – $865 |
| 2 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $1.5k | $1.5k | $48 | 3% | 3–30 | $1.5k – $1.6k |
| 3 | MaineHealth Damariscotta, ME other · outpatient | 2 | $3.1k | $3.1k | — | — | 2–20 | $3.1k – $3.1k |
| 4 | Windom Area Hospital Lakefield, MN facility · other · inpatient | 1 | $668 | $668 | — | — | 2–20 | $668 – $668 |
| 5 | Windom Area Hospital Lakefield, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $801 | $801 | $711 | 89% | 2–20 | $90 – $1.5k |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN percent of total billed charges · outpatientfrom % of charges | 3 | $2.1k | $2.1k | $222 | 11% | 1–10 | $1.8k – $2.3k |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $503 | $503 | — | — | 1–10 | $503 – $503 |
| 8 | Barnes Jewish Hospital St. Louis, MO fee schedule · both | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 9 | Carteret County General Hospital Corporation Morehead City, NC facility · percent of total billed charges · bothfrom % of charges | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 10 | Community Memorial Hospital of Menomonee Falls Inc Menomonee Falls, WI other · inpatient | 1 | $174 | $174 | — | — | 1–10 | $174 – $174 |
| 11 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 12 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN per diem · both | 1 | $800 | $800 | — | — | 1–10 | $800 – $800 |
| 13 | HCA FLORIDA ST. LUCIE HOSPITAL PORT ST LUCIE, FL percent of total billed charges · outpatientfrom % of charges | 2 | $3.1k | $3.1k | $1.8k | 58% | 1–10 | $1.3k – $4.8k |
| 14 | Halifax Regional Medical Center, Inc. Roanoke Rapids, NC other · both | 1 | $188 | $188 | — | — | 1–10 | $188 – $188 |
| 15 | Holy Redeemer Health System Meadowbrook, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 16 | MCLAREN CENTRAL MICHIGAN PLEASANT, MI percent of total billed chargesfrom % of charges | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 17 | MaineHealth Damariscotta, ME percent of total billed charges · outpatientfrom % of charges | 2 | $2.1k | $2.1k | $854 | 41% | 1–10 | $1.2k – $2.9k |
| 18 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $167 | $167 | — | — | 1–10 | $167 – $167 |
| 19 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $167 | $167 | — | — | 1–10 | $167 – $167 |
| 20 | Methodist Hospitals of Dallas Dallas, TX other · both | 3 | $285 | $249 | $52 | 21% | 1–10 | $176 – $285 |
| 21 | Methodist Hospitals of Dallas Dallas, TX per diem · both | 5 | $1.6k | $1.6k | $95 | 6% | 1–10 | $1.5k – $1.7k |
| 22 | Nazareth Hospital Philadelphia, PA facility · other · both | 1 | $200 | $200 | — | — | 1–10 | $200 – $200 |
| 23 | North Oaks Medical Center Drive. Hammond, LA other · both | 1 | $163 | $163 | — | — | 1–10 | $163 – $163 |
| 24 | Norton Hospitals INC Louisville, KY other · inpatient | 1 | $530 | $530 | — | — | 1–10 | $530 – $530 |
| 25 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $177 | $177 | — | — | 1–10 | $177 – $177 |
← Payers reporting CPT 72194 · Snapshot 20261111T120946Z-9134e7f7