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
CT SCAN PELVIS W/CONT.
Tustin, CA
See all hospitals reporting CPT 72193 →Price type
Alta Newport Hospital, LLC’s median price of $187 is 60% below the median hospital's median price ($469), higher than 10% 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: 10 payers, 23 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 | Bcbs Ca covered california/ifp/ppo facility · fee schedule · outpatient | $7.60 | $7.60 | $7.60 – $7.60 |
| 2 | Bcbs Ca hmo facility · fee schedule · outpatient | $8.71 | $8.71 | $8.71 – $8.71 |
| 3 | Bcbs Ca epo/ppo/out of state facility · fee schedule · outpatient | $9.48 | $9.48 | $9.48 – $9.48 |
| 4 | UnitedHealthcare managed care facility · fee schedule · outpatient | $166.01 | $166.01 | $166.01 – $166.01 |
| 5 | Aetna medicare advantage facility · case rate · outpatient | $178.02 | $178.02 | $178.02 – $178.02 |
| 6 | Anthem medicare advantage facility · case rate · outpatient | $178.02 | $178.02 | $178.02 – $178.02 |
| 7 | Bcbs Ca medicare advantage facility · case rate · outpatient | $178.02 | $178.02 | $178.02 – $178.02 |
| 8 | Humana medicare advantage facility · case rate · outpatient | $178.02 | $178.02 | $178.02 – $178.02 |
| 9 | Optum commercial hmo facility · case rate · outpatient | $178.02 | $178.02 | $178.02 – $178.02 |
| 10 | Optum medicare advantage facility · case rate · outpatient | $181.58 | $181.58 | $181.58 – $181.58 |
| 11 | WellCare medicare advantage facility · case rate · outpatient | $181.58 | $181.58 | $181.58 – $181.58 |
| 12 | Aetna exchange facility · case rate · outpatient | $231.43 | $231.43 | $231.43 – $231.43 |
| 13 | Anthem commercial hmo-ppo/covered california facility · case rate · outpatient | $459.03 | $459.03 | $459.03 – $459.03 |
| 14 | Anthem ppg facility · case rate · outpatient | $573.81 | $573.81 | $573.81 – $573.81 |
| 15 | Aetna all gatekeeper plans facility · case rate · outpatient | $612.64 | $612.64 | $612.64 – $612.64 |
| 16 | Aetna all non-gatekeeper plans facility · case rate · outpatient | $612.67 | $612.67 | $612.67 – $612.67 |
| 17 | Cigna hmo/ppo facility · case rate · outpatient | $1,250 | $1,250 | $1,250 – $1,250 |
| 18 | Aetna all non-gatekeeper plans facility · percent of total billed charges · outpatientfrom % of charges | $1,753 | $1,753 | $1,753 – $1,753 |
| 19 | Aetna all gatekeeper plans facility · percent of total billed charges · outpatientfrom % of charges | $2,871 | $2,871 | $2,871 – $2,871 |
| 20 | Phcs commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $3,223 | $3,223 | $3,223 – $3,223 |
| 21 | Phcs commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $3,223 | $3,223 | $3,223 – $3,223 |
| 22 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $3,849 | $3,849 | $3,849 – $3,849 |
| 23 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $3,849 | $3,849 | $3,849 – $3,849 |
Last updated: Mar 18, 2026
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