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
CHG CT PELVIS W/CONTRAST MATERIAL
Albany, NY
See all hospitals reporting CPT 72193 →Price type
Albany Medical Center Hospital’s median price of $75 is 84% below the median hospital's median price ($469), higher than 0% 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: 7 payers, 65 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 | Blue Cross Blue Shield essentialnonaliessa_csw_fac professional · fee schedule · outpatient | $38.70 | $38.70 | $38.70 – $38.70 |
| 2 | Blue Cross Blue Shield essentialnonaliessa_csw_nonfac professional · fee schedule · outpatient | $38.70 | $38.70 | $38.70 – $38.70 |
| 3 | Tricare all products_nonphysician_fac professional · fee schedule · outpatient | $43.85 | $43.85 | $43.85 – $43.85 |
| 4 | Tricare all products_nonphysician_nonfac professional · fee schedule · outpatient | $43.85 | $43.85 | $43.85 – $43.85 |
| 5 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_fac professional · fee schedule · outpatient | $43.86 | $43.86 | $43.86 – $43.86 |
| 6 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_nonfac professional · fee schedule · outpatient | $43.86 | $43.86 | $43.86 – $43.86 |
| 7 | Blue Cross Blue Shield essentialnonaliessa_ancillary providers_fac professional · fee schedule · outpatient | $43.86 | $43.86 | $43.86 – $43.86 |
| 8 | Blue Cross Blue Shield essentialnonaliessa_ancillary providers_nonfac professional · fee schedule · outpatient | $43.86 | $43.86 | $43.86 – $43.86 |
| 9 | Highmark medicare_midlevel_nof professional · fee schedule · outpatient | $50.07 | $50.07 | $50.07 – $50.07 |
| 10 | Highmark medicare_midlevel_off professional · fee schedule · outpatient | $50.07 | $50.07 | $50.07 – $50.07 |
| 11 | Tricare all products_physician_fac professional · fee schedule · outpatient | $51.59 | $51.59 | $51.59 – $51.59 |
| 12 | Tricare all products_physician_nonfac professional · fee schedule · outpatient | $51.59 | $51.59 | $51.59 – $51.59 |
| 13 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_md_fac professional · fee schedule · outpatient | $51.60 | $51.60 | $51.60 – $51.60 |
| 14 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_md_nonfac professional · fee schedule · outpatient | $51.60 | $51.60 | $51.60 – $51.60 |
| 15 | Blue Cross Blue Shield essentialnonaliessa_md_fac professional · fee schedule · outpatient | $51.60 | $51.60 | $51.60 – $51.60 |
| 16 | Blue Cross Blue Shield essentialnonaliessa_md_nonfac professional · fee schedule · outpatient | $51.60 | $51.60 | $51.60 – $51.60 |
| 17 | Highmark medicaid_fac professional · fee schedule · outpatient | $51.60 | $51.60 | $51.60 – $51.60 |
| 18 | Highmark medicaid_nonfac professional · fee schedule · outpatient | $51.60 | $51.60 | $51.60 – $51.60 |
| 19 | UnitedHealthcare medicare_fac professional · fee schedule · outpatient | $51.60 | $51.60 | $51.60 – $51.60 |
| 20 | UnitedHealthcare medicare_nonfac professional · fee schedule · outpatient | $51.60 | $51.60 | $51.60 – $51.60 |
| 21 | Aetna medicare_fac professional · fee schedule · outpatient | $53.66 | $53.66 | $53.66 – $53.66 |
| 22 | Aetna medicare_nonfac professional · fee schedule · outpatient | $53.66 | $53.66 | $53.66 – $53.66 |
| 23 | Blue Cross Blue Shield medicare_fac professional · fee schedule · outpatient | $54.37 | $54.37 | $54.37 – $54.37 |
| 24 | Blue Cross Blue Shield medicare_nonfac professional · fee schedule · outpatient | $54.37 | $54.37 | $54.37 – $54.37 |
| 25 | Highmark medicare_nof professional · fee schedule · outpatient | $58.90 | $58.90 | $58.90 – $58.90 |
Last updated: Dec 31, 2025
See CT scan of pelvis with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.