CT scan of pelvis without contrast at Ascension Cedar Park

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CT-PELVIS WO

Park, TX

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Pricing by billing methodology

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How this price compares nationally

Ascension Cedar Park’s median price of $114 is 65% below the median hospital's median price ($324), higher than 12% of the 2,708 hospitals reporting CPT 72192. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72192 at Ascension Cedar Park

Negotiated rates from the hospital’s own file: 8 payers, 38 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	Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
2	Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
3	Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
4	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
5	Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
6	Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both	$112	$112	—	—	—	$112 – $112
7	Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both	$112	$112	—	—	—	$112 – $112
8	Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both	$112	$112	—	—	—	$112 – $112
9	UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both	$112	$112	—	—	—	$112 – $112
10	UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both	$112	$112	—	—	—	$112 – $112
11	UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both	$112	$112	—	—	—	$112 – $112
12	Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both	$114	$114	—	—	—	$114 – $114
13	UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both	$114	$114	—	—	—	$114 – $114
14	UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both	$114	$114	—	—	—	$114 – $114
15	UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both	$114	$114	—	—	—	$114 – $114
16	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$119	$119	—	—	—	$119 – $119
17	Humana 2668_humana hmo 20230701 other · outpatient	$162	$162	—	—	—	$162 – $162
18	Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient	$411	$411	—	—	—	$411 – $411
19	Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient	$411	$411	—	—	—	$411 – $411
20	Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$453	$453	—	—	—	$453 – $453
21	Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient	$501	$501	—	—	—	$501 – $501
22	Aetna 4489_aetna aco hmo 20250801 fee schedule · both	$631	$631	—	—	—	$631 – $631
23	Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both	$631	$631	—	—	—	$631 – $631
24	Aetna 4486_aetna hmo 20250801 other · outpatient	$883	$883	—	—	—	$883 – $883
25	Aetna 1377_aetna hmo exchange 20200101 fee schedule · both	$888	$888	—	—	—	$888 – $888

Page 1 of 2 · 38 rates

Last updated: Jan 1, 2026

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