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
HC CT PELVIS W/ CONTRAST
Ontario, OH
See all hospitals reporting CPT 72193 →Price type
Avita Ontario Hospital’s median price of $1.1k is 128% above the median hospital's median price ($469), higher than 74% 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, 27 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 | Medical Mutual commercial percent of total billed charges · bothfrom % of charges | $122.90 | $122.90 | $122.90 – $122.90 |
| 2 | Caresource medicaid_outpatient percent of total billed charges · bothfrom % of charges | $664.45 | $664.45 | $664.45 – $664.45 |
| 3 | Molina medicaid_outpatient percent of total billed charges · bothfrom % of charges | $664.45 | $664.45 | $664.45 – $664.45 |
| 4 | UnitedHealthcare medicaid_outpatient percent of total billed charges · bothfrom % of charges | $664.45 | $664.45 | $664.45 – $664.45 |
| 5 | Anthem medicaid_outpatient percent of total billed charges · bothfrom % of charges | $684.38 | $684.38 | $684.38 – $684.38 |
| 6 | Humana medicaid_outpatient percent of total billed charges · bothfrom % of charges | $718.60 | $718.60 | $718.60 – $718.60 |
| 7 | Aetna medicare_outpatient percent of total billed charges · bothfrom % of charges | $1,051 | $1,051 | $1,051 – $1,051 |
| 8 | Anthem medicare_outpatient percent of total billed charges · bothfrom % of charges | $1,051 | $1,051 | $1,051 – $1,051 |
| 9 | Humana medicare_outpatient percent of total billed charges · bothfrom % of charges | $1,051 | $1,051 | $1,051 – $1,051 |
| 10 | Molina medicare_outpatient percent of total billed charges · bothfrom % of charges | $1,051 | $1,051 | $1,051 – $1,051 |
| 11 | UnitedHealthcare medicare_outpatient percent of total billed charges · bothfrom % of charges | $1,051 | $1,051 | $1,051 – $1,051 |
| 12 | Medical Mutual medicare_outpatient percent of total billed charges · bothfrom % of charges | $1,072 | $1,072 | $1,072 – $1,072 |
| 13 | Anthem blue_access_blue_preferred percent of total billed charges · bothfrom % of charges | $1,726 | $1,726 | $1,726 – $1,726 |
| 14 | Molina marketplace_outpatient percent of total billed charges · bothfrom % of charges | $1,933 | $1,933 | $1,933 – $1,933 |
| 15 | Anthem traditional_blue_access_blue_preferred percent of total billed charges · bothfrom % of charges | $2,284 | $2,284 | $2,284 – $2,284 |
| 16 | Anthem blue_access_i-ii_enhanced_choice_pathway_x percent of total billed charges · bothfrom % of charges | $2,303 | $2,303 | $2,303 – $2,303 |
| 17 | Anthem pathway_group_hmo_pathway_x percent of total billed charges · bothfrom % of charges | $2,503 | $2,503 | $2,503 – $2,503 |
| 18 | Cigna commercial percent of total billed charges · bothfrom % of charges | $2,941 | $2,941 | $2,941 – $2,941 |
| 19 | Aetna all_commercial percent of total billed charges · bothfrom % of charges | $3,209 | $3,209 | $3,209 – $3,209 |
| 20 | UnitedHealthcare commercial percent of total billed charges · bothfrom % of charges | $3,209 | $3,209 | $3,209 – $3,209 |
| 21 | Anthem medicare_inpatient per diem · both | $3,518 | $3,518 | $3,518 – $3,518 |
| 22 | Humana medicare_inpatient per diem · both | $3,518 | $3,518 | $3,518 – $3,518 |
| 23 | Molina medicare_inpatient per diem · both | $3,518 | $3,518 | $3,518 – $3,518 |
| 24 | UnitedHealthcare medicare_inpatient per diem · both | $3,518 | $3,518 | $3,518 – $3,518 |
| 25 | Aetna medicare_inpatient per diem · both | $3,588 | $3,588 | $3,588 – $3,588 |
Last updated: Mar 23, 2026
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