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
Waterloo, IA
See all hospitals reporting CPT 72193 →Price type
Allen Memorial Hospital Corporation’s median price of $210 is 55% below the median hospital's median price ($469), higher than 16% 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, 25 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 | Aetna medicare advantage fee schedule · both | $155.34 | $137.34 | $50.66 – $206.01 |
| 2 | Molina medicare advantage fee schedule · both | $158.45 | $140.08 | $51.67 – $210.13 |
| 3 | Wellmark medicare advantage fee schedule · both | $158.45 | $140.08 | $51.67 – $210.13 |
| 4 | Humana medicare advantage fee schedule · both | $163.11 | $144.20 | $53.19 – $216.31 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $163.11 | $144.20 | $53.19 – $216.31 |
| 6 | Aetna medicare advantage case rate · outpatient | $167.42 | $167.42 | $167.42 – $167.42 |
| 7 | Molina medicare advantage case rate · outpatient | $167.42 | $167.42 | $167.42 – $167.42 |
| 8 | Wellmark medicare advantage case rate · outpatient | $167.42 | $167.42 | $167.42 – $167.42 |
| 9 | Humana medicare advantage case rate · outpatient | $172.34 | $172.34 | $172.34 – $172.34 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $172.34 | $172.34 | $172.34 – $172.34 |
| 11 | UnitedHealthcare hmo fee schedule · both | $220.15 | $195.99 | $73.83 – $293.98 |
| 12 | UnitedHealthcare ppo fee schedule · both | $220.15 | $195.99 | $73.83 – $293.98 |
| 13 | Cigna commercial fee schedule · both | $335.24 | $295.09 | $107.39 – $442.64 |
| 14 | Wellmark commercial fee schedule · both | $338.20 | $295.20 | $104.60 – $442.80 |
| 15 | Wellmark hmo fee schedule · both | $338.20 | $295.20 | $104.60 – $442.80 |
| 16 | Wellmark ppo fee schedule · both | $397.90 | $347.33 | $123.10 – $521.00 |
| 17 | Aetna hmo fee schedule · both | $408.75 | $360.91 | $132.61 – $541.37 |
| 18 | Aetna hmo fee schedule · outpatient | $395.29 | $395.29 | $395.29 – $395.29 |
| 19 | Aetna ppo fee schedule · outpatient | $411.26 | $411.26 | $411.26 – $411.26 |
| 20 | Aetna ppo fee schedule · both | $475.78 | $417.27 | $150.11 – $625.91 |
| 21 | UnitedHealthcare hmo fee schedule · outpatient | $485.13 | $485.13 | $485.13 – $485.13 |
| 22 | UnitedHealthcare ppo fee schedule · outpatient | $485.13 | $485.13 | $485.13 – $485.13 |
| 23 | Medica commercial percent of total billed charges · outpatientfrom % of charges | $722.71 | $722.71 | $682.15 – $763.26 |
| 24 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $937.06 | $937.06 | $937.06 – $937.06 |
| 25 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $937.06 | $937.06 | $937.06 – $937.06 |
Last updated: Jan 28, 2026
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.