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
Burnet, TX
See all hospitals reporting CPT 72193 →Price type
Ascension Seton’s median price of $225 is 52% below the median hospital's median price ($469), higher than 20% 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: 8 payers, 54 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 4224_chirp blue cross star (shl) outpatient 20241201 fee schedule · both | $152.06 | $152.06 | $152.06 – $152.06 |
| 2 | UnitedHealthcare 4258_chirp uhc star (shl) outpatient 20241201 fee schedule · both | $152.06 | $152.06 | $152.06 – $152.06 |
| 3 | UnitedHealthcare 4269_chirp uhc star plus (shl) outpatient 20241201 fee schedule · both | $152.06 | $152.06 | $152.06 – $152.06 |
| 4 | UnitedHealthcare 4316_uhc star kids (shl) outpatient 20241201 fee schedule · both | $152.06 | $152.06 | $152.06 – $152.06 |
| 5 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient | $180.34 | $180.34 | $180.34 – $180.34 |
| 6 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient | $180.34 | $180.34 | $180.34 – $180.34 |
| 7 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $180.34 | $180.34 | $180.34 – $180.34 |
| 8 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $180.34 | $180.34 | $180.34 – $180.34 |
| 9 | Superior Healthplan 4246_chirp superior star (shl) outpatient 20241201 fee schedule · outpatient | $180.34 | $180.34 | $180.34 – $180.34 |
| 10 | Superior Healthplan 4399_chirp superior star plus (shl) outpatient 20241201 fee schedule · outpatient | $180.34 | $180.34 | $180.34 – $180.34 |
| 11 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $193.15 | $193.15 | $193.15 – $193.15 |
| 12 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both | $213.18 | $213.18 | $213.18 – $213.18 |
| 13 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both | $213.18 | $213.18 | $213.18 – $213.18 |
| 14 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both | $213.18 | $213.18 | $213.18 – $213.18 |
| 15 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both | $213.18 | $213.18 | $213.18 – $213.18 |
| 16 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both | $213.18 | $213.18 | $213.18 – $213.18 |
| 17 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both | $213.18 | $213.18 | $213.18 – $213.18 |
| 18 | Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both | $213.51 | $213.51 | $213.51 – $213.51 |
| 19 | UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both | $213.51 | $213.51 | $213.51 – $213.51 |
| 20 | UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both | $213.51 | $213.51 | $213.51 – $213.51 |
| 21 | UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both | $213.51 | $213.51 | $213.51 – $213.51 |
| 22 | Blue Cross Blue Shield 3599_blue cross chip/star kids (shl) inpatient 20240901 fee schedule · both | $224.97 | $224.97 | $224.97 – $224.97 |
| 23 | Blue Cross Blue Shield 3698_chirp blue cross star (shl) inpatient 20240901 fee schedule · both | $224.97 | $224.97 | $224.97 – $224.97 |
| 24 | UnitedHealthcare 3742_chirp uhc star (shl) inpatient 20240901 fee schedule · both | $224.97 | $224.97 | $224.97 – $224.97 |
| 25 | UnitedHealthcare 3753_chirp uhc star plus (shl) inpatient 20240901 fee schedule · both | $224.97 | $224.97 | $224.97 – $224.97 |
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.