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 pelvis w/dye
Devils Lake, ND
See all hospitals reporting CPT 72193 →Price type
Altru Hospital Devils Lake’s median price of $281 is 40% below the median hospital's median price ($469), higher than 29% 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, 10 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 medicaid managed care plan facility · fee schedule · outpatient | $66.67 | $66.67 | $66.67 – $66.67 |
| 2 | Medica medicaid managed care plan facility · fee schedule · outpatient | $109.61 | $109.61 | $109.61 – $109.61 |
| 3 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $109.61 | $109.61 | $109.61 – $109.61 |
| 4 | Aetna medicare managed care plan facility · fee schedule · outpatient | $179.20 | $179.20 | $179.20 – $179.20 |
| 5 | Medica medicare managed care plan facility · fee schedule · outpatient | $197.94 | $197.94 | $197.94 – $197.94 |
| 6 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $245.09 | $245.09 | $209.27 – $280.91 |
| 7 | Aetna all commercial plans facility · fee schedule · outpatient | $255.36 | $255.36 | $188.16 – $322.56 |
| 8 | Medica all commercial plans facility · fee schedule · outpatient | $322.38 | $322.38 | $322.38 – $322.38 |
| 9 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $322.57 | $322.57 | $322.57 – $322.57 |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $350.89 | $350.89 | $350.89 – $350.89 |
Last updated: Mar 1, 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.