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
Malone, NY
See all hospitals reporting CPT 72193 →Price type
Alice Hyde Medical Center’s median price of $119 is 75% below the median hospital's median price ($469), higher than 2% 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: 5 payers, 20 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 | UnitedHealthcare managed medicaid/essential plans professional · percent of total billed charges · bothfrom % of charges | $25.20 | $25.20 | $25.20 – $25.20 |
| 2 | UnitedHealthcare medicare advantage professional · percent of total billed charges · bothfrom % of charges | $25.20 | $25.20 | $25.20 – $25.20 |
| 3 | Excellus managed medicaid/essential plans professional · fee schedule · both | $38.21 | $38.21 | $38.21 – $38.21 |
| 4 | Aetna medicare advantage professional · fee schedule · both | $52.34 | $52.34 | $52.34 – $52.34 |
| 5 | Excellus medicare advantage professional · fee schedule · both | $52.34 | $52.34 | $52.34 – $52.34 |
| 6 | Highmark ind/fep/ppo/hmo professional · percent of total billed charges · bothfrom % of charges | $70.56 | $70.56 | $70.56 – $70.56 |
| 7 | Excellus commercial professional · fee schedule · both | $78.22 | $78.22 | $78.22 – $78.22 |
| 8 | Aetna commercial professional · fee schedule · both | $86.59 | $86.59 | $86.59 – $86.59 |
| 9 | Excellus managed medicaid/essential plans facility · fee schedule · outpatient | $93.90 | $93.90 | $93.90 – $93.90 |
| 10 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $106.00 | $106.00 | $97.41 – $114.59 |
| 11 | UnitedHealthcare commercial professional · fee schedule · both | $125.83 | $125.83 | $125.83 – $125.83 |
| 12 | Humana tricare professional · fee schedule · both | $181.25 | $181.25 | $181.25 – $181.25 |
| 13 | Excellus commercial facility · fee schedule · outpatient | $605.96 | $605.96 | $605.96 – $605.96 |
| 14 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $820.71 | $820.71 | $820.71 – $820.71 |
| 15 | Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $820.71 | $820.71 | $820.71 – $820.71 |
| 16 | Humana tricare facility · percent of total billed charges · outpatientfrom % of charges | $820.71 | $820.71 | $820.71 – $820.71 |
| 17 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $820.71 | $820.71 | $820.71 – $820.71 |
| 18 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,161 | $2,161 | $2,161 – $2,161 |
| 19 | Highmark ind/fep/ppo/hmo facility · percent of total billed charges · outpatientfrom % of charges | $2,228 | $2,228 | $2,228 – $2,228 |
| 20 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,333 | $2,333 | $2,333 – $2,333 |
Last updated: Sep 8, 2026
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