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
O'Neill, NE
See all hospitals reporting CPT 72193 →Price type
Avera St. Anthony's Hospital’s median price of $3.6k is 661% above the median hospital's median price ($469), higher than 98% 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 | $2,575 | $2,575 | $2,575 – $2,575 |
| 4 | Medica com percent of total billed charges · inpatientfrom % of charges | $3,059 | $3,059 | $3,059 – $3,059 |
| 5 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $3,380 | $3,380 | $3,380 – $3,380 |
| 6 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $3,380 | $3,380 | $3,380 – $3,380 |
| 7 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $3,764 | $3,764 | $3,764 – $3,764 |
| 8 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $3,764 | $3,764 | $3,764 – $3,764 |
| 9 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $3,764 | $3,764 | $3,764 – $3,764 |
| 10 | Wellmark ppo percent of total billed charges · outpatientfrom % of charges | $3,764 | $3,764 | $3,764 – $3,764 |
Last updated: Apr 1, 2026
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