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 PELVIS CT SCAN,W/CONTRAST
Brenham, TX
See all hospitals reporting CPT 72193 →Price type
Baylor Scott & White Medical Center - Brenham’s median price of $1.5k is 214% above the median hospital's median price ($469), higher than 83% 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare medicaid/chip facility · fee schedule · outpatient | $236.02 | $236.02 | $236.02 – $236.02 |
| 2 | Baylor Scott White Health Plan medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $448.16 | $448.16 | $448.16 – $448.16 |
| 3 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $495.33 | $495.33 | $495.33 – $495.33 |
| 4 | Superior Healthplan medicare hmo/medicare ppo facility · percent of total billed charges · outpatientfrom % of charges | $495.33 | $495.33 | $495.33 – $495.33 |
| 5 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $528.35 | $528.35 | $528.35 – $528.35 |
| 6 | Baylor Scott White Health Plan bsw premier - small group facility · percent of total billed charges · outpatientfrom % of charges | $566.09 | $566.09 | $566.09 – $566.09 |
| 7 | Baylor Scott White Health Plan bsw premier - individual facility · percent of total billed charges · outpatientfrom % of charges | $592.22 | $592.22 | $592.22 – $592.22 |
| 8 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient | $761.68 | $761.68 | $761.68 – $761.68 |
| 9 | Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient | $770.79 | $770.79 | $770.79 – $770.79 |
| 10 | Baylor Scott White Health Plan bsw plus - small group facility · percent of total billed charges · outpatientfrom % of charges | $849.14 | $849.14 | $849.14 – $849.14 |
| 11 | Blue Cross Blue Shield blue essentials (hmo) facility · fee schedule · outpatient | $881.94 | $881.94 | $881.94 – $881.94 |
| 12 | Blue Cross Blue Shield bluechoice (ppo) facility · fee schedule · outpatient | $929.32 | $929.32 | $929.32 – $929.32 |
| 13 | Cigna local plus facility · fee schedule · outpatient | $1,466 | $1,466 | $1,466 – $1,466 |
| 14 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · fee schedule · outpatient | $1,480 | $1,480 | $1,480 – $1,480 |
| 15 | Cigna hmo/ppo facility · fee schedule · outpatient | $1,725 | $1,725 | $1,725 – $1,725 |
| 16 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · fee schedule · outpatient | $1,742 | $1,742 | $1,742 – $1,742 |
| 17 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,996 | $1,996 | $1,996 – $1,996 |
| 18 | UnitedHealthcare commercial facility · fee schedule · outpatient | $1,997 | $1,997 | $1,997 – $1,997 |
| 19 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $2,540 | $2,540 | $2,540 – $2,540 |
| 20 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $2,540 | $2,540 | $2,540 – $2,540 |
| 21 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $2,540 | $2,540 | $2,540 – $2,540 |
| 22 | Humana commercial hmo facility · percent of total billed charges · inpatientfrom % of charges | $2,903 | $2,903 | $2,903 – $2,903 |
| 23 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $2,903 | $2,903 | $2,903 – $2,903 |
Last updated: Jun 12, 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.