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 CNT
Payson, AZ
See all hospitals reporting CPT 72193 →Price type
Banner Payson Medical Center’s median price of $726 is 55% above the median hospital's median price ($469), higher than 63% 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, 23 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 | Aetna banner employee plans facility · per diem · outpatient | $341.00 | $341.00 | $341.00 – $341.00 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $661.74 | $661.74 | $661.74 – $661.74 |
| 3 | Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $661.74 | $661.74 | $661.74 – $661.74 |
| 4 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $661.74 | $661.74 | $661.74 – $661.74 |
| 5 | Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $661.74 | $661.74 | $661.74 – $661.74 |
| 6 | UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $661.74 | $661.74 | $661.74 – $661.74 |
| 7 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $701.44 | $701.44 | $701.44 – $701.44 |
| 8 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $727.91 | $727.91 | $727.91 – $727.91 |
| 9 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $855.42 | $855.42 | $855.42 – $855.42 |
| 10 | Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $900.61 | $900.61 | $900.61 – $900.61 |
| 11 | Bcbs Az bxbsaz neighborhood facility · fee schedule · outpatient | $988.55 | $988.55 | $988.55 – $988.55 |
| 12 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $1,038 | $1,038 | $1,038 – $1,038 |
| 13 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $1,038 | $1,038 | $1,038 – $1,038 |
| 14 | Bcbs Az bcbsaz alliance/blue hpn facility · fee schedule · outpatient | $1,054 | $1,054 | $1,054 – $1,054 |
| 15 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $1,068 | $1,068 | $1,068 – $1,068 |
| 16 | UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $1,081 | $1,081 | $1,081 – $1,081 |
| 17 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,092 | $1,092 | $1,092 – $1,092 |
| 18 | Bcbs Az bxbsaz alliance chs facility · fee schedule · outpatient | $1,107 | $1,107 | $1,107 – $1,107 |
| 19 | Bcbs Az bcbsaz medicare facility · fee schedule · outpatient | $1,259 | $1,259 | $1,259 – $1,259 |
| 20 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges | $1,285 | $1,285 | $1,285 – $1,285 |
| 21 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges | $1,285 | $1,285 | $1,285 – $1,285 |
| 22 | Bcbs Az bcbsaz workers comp facility · fee schedule · outpatient | $1,318 | $1,318 | $1,318 – $1,318 |
| 23 | Bcbs Az commercial facility · fee schedule · outpatient | $1,318 | $1,318 | $1,318 – $1,318 |
Last updated: Mar 2, 2026
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