CT scan of pelvis with contrast dye at Atrium Health Hospitals Inc

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

HC CT SCAN OF PELVIS CONTRAST

Lincolnton, NC

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How this price compares nationally

Atrium Health Hospitals Inc’s median price of $879 is 87% above the median hospital's median price ($469), higher than 68% 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 Atrium Health Hospitals Inc

Negotiated rates from the hospital’s own file: 13 payers, 52 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	Cigna Healthspring medicare advantage fee schedule · both	$157.68	$139.24	$51.18 – $208.86
2	Humana medicare advantage fee schedule · both	$160.83	$142.02	$52.20 – $213.04
3	Aetna medicare advantage fee schedule · both	$163.20	$144.11	$52.97 – $216.17
4	UnitedHealthcare medicare advantage case rate · both	$163.65	$144.51	$53.12 – $216.77
5	Amerihealth Caritas managed medicaid fee schedule · both	$150.94	$150.94	$48.55 – $253.32
6	UnitedHealthcare managed medicaid fee schedule · both	$150.94	$150.94	$48.55 – $253.32
7	WellCare managed medicaid fee schedule · both	$150.94	$150.94	$48.55 – $253.32
8	Humana medicare advantage fee schedule · outpatient	$170.35	$170.35	$170.35 – $170.35
9	Aetna medicare advantage fee schedule · outpatient	$172.85	$172.85	$172.85 – $172.85
10	Cigna Healthspring medicare advantage fee schedule · outpatient	$175.36	$175.36	$175.36 – $175.36
11	UnitedHealthcare medicare advantage fee schedule · outpatient	$175.88	$175.88	$175.88 – $175.88
12	Amerihealth Caritas managed medicaid percent of total billed charges · outpatientfrom % of charges	$362.98	$362.98	$362.98 – $362.98
13	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$369.74	$369.74	$369.74 – $369.74
14	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$535.15	$535.15	$535.15 – $535.15
15	Aetna connected north carolina individual hmo percent of total billed charges · outpatientfrom % of charges	$852.76	$852.76	$852.76 – $852.76
16	Aetna north carolina preferred plus case rate · outpatient	$906.00	$906.00	$906.00 – $906.00
17	Bcbs Nc local group commercial percent of total billed charges · inpatientfrom % of charges	$922.59	$922.59	$922.59 – $922.59
18	Bcbs Nc local individual commercial percent of total billed charges · inpatientfrom % of charges	$972.46	$972.46	$972.46 – $972.46
19	Aetna connected north carolina individual hmo percent of total billed charges · inpatientfrom % of charges	$975.04	$975.04	$975.04 – $975.04
20	Aetna broad network case rate · outpatient	$1,020	$1,020	$1,020 – $1,020
21	Ambetter cobranded commercial percent of total billed charges · outpatientfrom % of charges	$1,053	$1,053	$1,053 – $1,053
22	Ambetter cobranded commercial percent of total billed charges · inpatientfrom % of charges	$1,078	$1,078	$1,078 – $1,078
23	Ambetter individual commercial percent of total billed charges · inpatientfrom % of charges	$1,197	$1,197	$1,197 – $1,197
24	Ambetter individual commercial percent of total billed charges · outpatientfrom % of charges	$1,197	$1,197	$1,197 – $1,197
25	Bcbs Nc hmo-ppo managed care percent of total billed charges · inpatientfrom % of charges	$1,214	$1,214	$1,214 – $1,214

Page 1 of 3 · 52 rates

Last updated: Dec 1, 2025

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