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
West Memphis, AR
See all hospitals reporting CPT 72193 →Price type
Baptist Memorial Hospital-Crittenden’s median price of $293 is 38% below the median hospital's median price ($469), higher than 31% 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, 26 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 | Oscar commercial facility · fee schedule · outpatient | $163.01 | $163.01 | $163.01 – $163.01 |
| 2 | Blue Cross Blue Shield lppo facility · fee schedule · outpatient | $166.27 | $166.27 | $166.27 – $166.27 |
| 3 | Devoted medicare facility · fee schedule · outpatient | $166.27 | $166.27 | $166.27 – $166.27 |
| 4 | Molina medicaid facility · fee schedule · outpatient | $166.27 | $166.27 | $166.27 – $166.27 |
| 5 | Blue Cross Blue Shield medicare facility · fee schedule · outpatient | $168.72 | $168.72 | $166.27 – $171.16 |
| 6 | Aetna medicare facility · fee schedule · outpatient | $171.16 | $171.16 | $171.16 – $171.16 |
| 7 | Blue Cross Blue Shield bluecare plus facility · fee schedule · outpatient | $171.16 | $171.16 | $171.16 – $171.16 |
| 8 | Humana medicare facility · fee schedule · outpatient | $171.16 | $171.16 | $171.16 – $171.16 |
| 9 | Blue Cross Blue Shield firstsource ppo facility · fee schedule · outpatient | $174.94 | $174.94 | $174.94 – $174.94 |
| 10 | Blue Cross Blue Shield hmo/healthadvantage hmo facility · fee schedule · outpatient | $174.94 | $174.94 | $174.94 – $174.94 |
| 11 | Blue Cross Blue Shield preferred payment plan/trueblue exchange ppo/trueblue non-exchange ppo facility · fee schedule · outpatient | $174.94 | $174.94 | $174.94 – $174.94 |
| 12 | Blue Cross Blue Shield trueblue individual metallic-level plan facility · fee schedule · outpatient | $174.94 | $174.94 | $174.94 – $174.94 |
| 13 | Blue Cross Blue Shield network e facility · fee schedule · outpatient | $251.31 | $251.31 | $251.31 – $251.31 |
| 14 | Caresource medicaid facility · fee schedule · outpatient | $261.62 | $261.62 | $261.62 – $261.62 |
| 15 | Blue Cross Blue Shield network l facility · fee schedule · outpatient | $278.52 | $278.52 | $278.52 – $278.52 |
| 16 | Molina chip facility · fee schedule · outpatient | $285.27 | $285.27 | $285.27 – $285.27 |
| 17 | Molina exchange facility · fee schedule · outpatient | $301.57 | $301.57 | $301.57 – $301.57 |
| 18 | Blue Cross Blue Shield network s facility · fee schedule · outpatient | $308.94 | $308.94 | $308.94 – $308.94 |
| 19 | Blue Cross Blue Shield network p facility · fee schedule · outpatient | $440.19 | $440.19 | $440.19 – $440.19 |
| 20 | Humana cpos/hmo/npos facility · fee schedule · outpatient | $574.00 | $574.00 | $574.00 – $574.00 |
| 21 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $957.04 | $957.04 | $888.68 – $1,025 |
| 22 | MultiPlan mpi primary network facility · percent of total billed charges · outpatientfrom % of charges | $1,470 | $1,470 | $1,470 – $1,470 |
| 23 | Blue Cross Blue Shield lppo facility · percent of total billed charges · inpatientfrom % of charges | $2,051 | $2,051 | $2,051 – $2,051 |
| 24 | Blue Cross Blue Shield medicare facility · percent of total billed charges · inpatientfrom % of charges | $2,051 | $2,051 | $2,051 – $2,051 |
| 25 | MultiPlan complementary network facility · percent of total billed charges · inpatientfrom % of charges | $2,564 | $2,564 | $2,564 – $2,564 |
Last updated: Feb 27, 2026
See CT scan of pelvis with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.