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 CONTRAST
Sparta, NC
See all hospitals reporting CPT 72193 →Price type
Alleghany County Memorial Hospital, Inc’s median price of $871 is 85% above the median hospital's median price ($469), higher than 68% 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: 8 payers, 14 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Bcbs Nc hmo facility · fee schedule · outpatient | $296.48 | $296.48 | $296.48 – $296.48 |
| 2 | Bcbs Nc ppo facility · fee schedule · outpatient | $296.48 | $296.48 | $296.48 – $296.48 |
| 3 | Bcbs Nc blue value facility · fee schedule · outpatient | $503.10 | $503.10 | $503.10 – $503.10 |
| 4 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $692.24 | $692.24 | $692.24 – $692.24 |
| 5 | Ambetter individual market facility · percent of total billed charges · outpatientfrom % of charges | $692.24 | $692.24 | $692.24 – $692.24 |
| 6 | Amerihealth Caritas hmo facility · percent of total billed charges · outpatientfrom % of charges | $692.24 | $692.24 | $692.24 – $692.24 |
| 7 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $692.24 | $692.24 | $692.24 – $692.24 |
| 8 | UnitedHealthcare all commercial plans facility · case rate · outpatient | $700.00 | $700.00 | $700.00 – $700.00 |
| 9 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $870.80 | $870.80 | $870.80 – $870.80 |
| 10 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $870.80 | $870.80 | $870.80 – $870.80 |
| 11 | Cigna all plans facility · percent of total billed charges · inpatientfrom % of charges | $1,710 | $1,710 | $1,710 – $1,710 |
| 12 | Cigna all plans facility · percent of total billed charges · outpatientfrom % of charges | $1,710 | $1,710 | $1,710 – $1,710 |
| 13 | Medcost ppo facility · percent of total billed charges · inpatientfrom % of charges | $1,873 | $1,873 | $1,873 – $1,873 |
| 14 | Medcost ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,873 | $1,873 | $1,873 – $1,873 |
Last updated: Aug 12, 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.