CT scan of pelvis with contrast dye at Astera Health

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 W IV Contrast

Wadena, MN

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How this price compares nationally

Astera Health’s median price of $596 is 27% above the median hospital's median price ($469), higher than 57% of the 2,597 hospitals reporting CPT 72193. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72193 at Astera Health

Negotiated rates from the hospital’s own file: 7 payers, 55 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 mr-bcbs mn [400069] fee schedule · outpatient	$58.16	$58.16	$58.16 – $58.16
2	Medica mr-medica advantage solutions [100895] fee schedule · outpatient	$58.16	$58.16	$58.16 – $58.16
3	Medica mr-medica dual solutions msho [100344] fee schedule · outpatient	$58.16	$58.16	$58.16 – $58.16
4	Ucare mr-ucare [300064] fee schedule · outpatient	$58.16	$58.16	$58.16 – $58.16
5	Ucare mr-ucare msho [300061] fee schedule · outpatient	$58.16	$58.16	$58.16 – $58.16
6	Ucare ucare pmap [300063] fee schedule · outpatient	$172.46	$172.46	$172.46 – $172.46
7	Medica medica mncare [100751] fee schedule · inpatient	$174.77	$174.77	$174.77 – $174.77
8	Medica medica mncare [100751] fee schedule · outpatient	$174.77	$174.77	$174.77 – $174.77
9	Medica medica pmap [100345] fee schedule · inpatient	$174.77	$174.77	$174.77 – $174.77
10	Medica medica pmap [100345] fee schedule · outpatient	$174.77	$174.77	$174.77 – $174.77
11	Ucare ucare pmap [300063] fee schedule · inpatient	$192.25	$192.25	$192.25 – $192.25
12	Blue Cross Blue Shield mr-bcbs mn [400069] fee schedule · inpatient	$226.19	$226.19	$226.19 – $226.19
13	Medica mr-medica advantage solutions [100895] fee schedule · inpatient	$226.19	$226.19	$226.19 – $226.19
14	Ucare mr-ucare [300064] fee schedule · inpatient	$226.19	$226.19	$226.19 – $226.19
15	Ucare mr-ucare msho [300061] fee schedule · inpatient	$226.19	$226.19	$226.19 – $226.19
16	Sanford Health Plan sanford health plan [100578] fee schedule · outpatient	$279.35	$279.35	$279.35 – $279.35
17	UnitedHealthcare united healthcare [100453] fee schedule · inpatient	$299.04	$299.04	$299.04 – $299.04
18	UnitedHealthcare united healthcare [100453] fee schedule · outpatient	$299.04	$299.04	$299.04 – $299.04
19	Sanford Health Plan sanford health plan [100578] fee schedule · inpatient	$364.56	$364.56	$364.56 – $364.56
20	Medica mr-medica dual solutions msho [100344] fee schedule · inpatient	$382.41	$382.41	$382.41 – $382.41
21	Medica medica [100341] fee schedule · outpatient	$418.45	$418.45	$418.45 – $418.45
22	Blue Cross Blue Shield bcbs federal employees [400004] fee schedule · outpatient	$686.50	$686.50	$481.23 – $891.77
23	Blue Cross Blue Shield bcbs high value network fee schedule · outpatient	$686.50	$686.50	$481.23 – $891.77
24	Blue Cross Blue Shield blue plus [400058] fee schedule · outpatient	$686.50	$686.50	$481.23 – $891.77
25	Ucare ucare pmap [300063] percent of total billed charges · outpatientfrom % of charges	$956.70	$956.70	$956.70 – $956.70

Page 1 of 3 · 55 rates

Last updated: Feb 20, 2026

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