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
Appleton, WI
See all hospitals reporting CPT 72193 →Price type
Ascension NE Wisconsin, Inc.’s median price of $171 is 64% below the median hospital's median price ($469), higher than 6% 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: 3 payers, 8 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 | Anthem 1000_anthem hmo pos mewi sewi 20230401 fee schedule · outpatient | $58.62 | $58.62 | $58.62 – $58.62 |
| 2 | Anthem 1001_anthem ppo mewi sewi 20230401 fee schedule · outpatient | $58.62 | $58.62 | $58.62 – $58.62 |
| 3 | Anthem 946_anthem pathways mewi sewi 20230101 fee schedule · outpatient | $58.62 | $58.62 | $58.62 – $58.62 |
| 4 | Anthem 999_anthem blue connection mewi sewi 20230401 fee schedule · outpatient | $58.62 | $58.62 | $58.62 – $58.62 |
| 5 | WellCare 970_medicare advantage wellcare inpatient 20230512 other · inpatient | $179.70 | $179.70 | $179.70 – $179.70 |
| 6 | WellCare 973_medicare advantage wellcare outpatient 20230101 other · outpatient | $179.70 | $179.70 | $179.70 – $179.70 |
| 7 | Molina 911_molina marketplace outpatient mewi sewi 20230101 other · outpatient | $359.39 | $359.39 | $359.39 – $359.39 |
| 8 | Molina 954_molina marketplace inpatient mewi sewi 20230512 other · inpatient | $359.39 | $359.39 | $359.39 – $359.39 |
Last updated: Jan 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.