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
MR-PELVIS W
Park, TX
See all hospitals reporting CPT 72196 →Price type
Ascension Cedar Park’s median price of $387 is 50% below the median hospital's median price ($778), higher than 17% of the 2,327 hospitals reporting CPT 72196. 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, 39 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 | $281 | $281 | — | — | — | $281 – $281 |
| 2 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient | $281 | $281 | — | — | — | $281 – $281 |
| 3 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $281 | $281 | — | — | — | $281 – $281 |
| 4 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $281 | $281 | — | — | — | $281 – $281 |
| 5 | Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both | $329 | $329 | — | — | — | $329 – $329 |
| 6 | UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both | $329 | $329 | — | — | — | $329 – $329 |
| 7 | UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both | $329 | $329 | — | — | — | $329 – $329 |
| 8 | UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both | $329 | $329 | — | — | — | $329 – $329 |
| 9 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both | $387 | $387 | — | — | — | $387 – $387 |
| 10 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both | $387 | $387 | — | — | — | $387 – $387 |
| 11 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both | $387 | $387 | — | — | — | $387 – $387 |
| 12 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both | $387 | $387 | — | — | — | $387 – $387 |
| 13 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both | $387 | $387 | — | — | — | $387 – $387 |
| 14 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both | $387 | $387 | — | — | — | $387 – $387 |
| 15 | Humana 2668_humana hmo 20230701 other · outpatient | $391 | $391 | — | — | — | $391 – $391 |
| 16 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $405 | $405 | — | — | — | $405 – $405 |
| 17 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $439 | $439 | — | — | — | $439 – $439 |
| 18 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 21 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 22 | Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 23 | Cigna 4476_cigna hmo (wil,del) 20250701 fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 24 | Aetna 4490_aetna multi-tier whole health sha 20250801 other · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 25 | Aetna 4335_aetna sha aisd 20250101 fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
Last updated: Jan 1, 2026
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