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/ CONTRAST
Washington Court House, OH
See all hospitals reporting CPT 72193 →Price type
Adena Fayette Medical Center’s median price of $1.3k is 170% above the median hospital's median price ($469), higher than 79% of the 2,597 hospitals reporting CPT 72193. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 28 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Caresource commercial facility · case rate · outpatient | $358.40 | $358.40 | $358.40 – $358.40 |
| 2 | Molina commercial facility · case rate · outpatient | $367.36 | $367.36 | $367.36 – $367.36 |
| 3 | Anthem medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $524.22 | $524.22 | $524.22 – $524.22 |
| 4 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $826.65 | $826.65 | $826.65 – $826.65 |
| 5 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $826.65 | $826.65 | $826.65 – $826.65 |
| 6 | Medical Mutual medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $826.65 | $826.65 | $826.65 – $826.65 |
| 7 | Molina medicare advantage/dual facility · percent of total billed charges · outpatientfrom % of charges | $826.65 | $826.65 | $826.65 – $826.65 |
| 8 | Caresource medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $843.19 | $843.19 | $843.19 – $843.19 |
| 9 | Anthem hmo/ppo facility · percent of total billed charges · inpatientfrom % of charges | $885.12 | $885.12 | $885.12 – $885.12 |
| 10 | Anthem hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $971.82 | $971.82 | $971.82 – $971.82 |
| 11 | Anthem blue preferred/blue access facility · percent of total billed charges · inpatientfrom % of charges | $1,214 | $1,214 | $1,214 – $1,214 |
| 12 | Anthem blue preferred/blue access facility · percent of total billed charges · outpatientfrom % of charges | $1,226 | $1,226 | $1,226 – $1,226 |
| 13 | Aetna commercial facility · case rate · outpatient | $1,250 | $1,250 | $1,250 – $1,250 |
| 14 | First Health commercial facility · case rate · outpatient | $1,250 | $1,250 | $1,250 – $1,250 |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,268 | $1,264 | $1,256 – $1,268 |
| 16 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,268 | $1,264 | $1,256 – $1,268 |
| 17 | Anthem traditional facility · percent of total billed charges · inpatientfrom % of charges | $1,309 | $1,309 | $1,309 – $1,309 |
| 18 | Anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $1,321 | $1,321 | $1,321 – $1,321 |
| 19 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,389 | $1,389 | $1,389 – $1,389 |
| 20 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,389 | $1,389 | $1,389 – $1,389 |
| 21 | Medical Mutual commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,522 | $1,522 | $1,522 – $1,522 |
| 22 | Medical Mutual commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,522 | $1,522 | $1,522 – $1,522 |
| 23 | Medical Mutual hmo/ppo/pos/preferred facility · percent of total billed charges · inpatientfrom % of charges | $1,522 | $1,522 | $1,522 – $1,522 |
| 24 | Medical Mutual hmo/ppo/pos/preferred facility · percent of total billed charges · outpatientfrom % of charges | $1,522 | $1,522 | $1,522 – $1,522 |
| 25 | Medical Mutual traditional commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,522 | $1,522 | $1,522 – $1,522 |
Last updated: Aug 19, 2026
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