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
De Smet, SD
See all hospitals reporting CPT 72193 →Price type
Avera DeSmet’s median price of $2.3k is 383% above the median hospital's median price ($469), higher than 91% 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: 4 payers, 10 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 | Medica com fee schedule · outpatient | $593.33 | $593.33 | $593.33 – $593.33 |
| 2 | Medica ind fee schedule · outpatient | $593.33 | $593.33 | $593.33 – $593.33 |
| 3 | Medica ind percent of total billed charges · inpatientfrom % of charges | $1,815 | $1,815 | $1,815 – $1,815 |
| 4 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $2,038 | $2,038 | $2,038 – $2,038 |
| 5 | Wellmark ppo percent of total billed charges · outpatientfrom % of charges | $2,038 | $2,038 | $2,038 – $2,038 |
| 6 | Medica com percent of total billed charges · inpatientfrom % of charges | $2,155 | $2,155 | $2,155 – $2,155 |
| 7 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $2,382 | $2,382 | $2,382 – $2,382 |
| 8 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $2,382 | $2,382 | $2,382 – $2,382 |
| 9 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $2,652 | $2,652 | $2,652 – $2,652 |
| 10 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $2,652 | $2,652 | $2,652 – $2,652 |
Last updated: Apr 1, 2026
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