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
Irving, TX
See all hospitals reporting CPT 72193 →Price type
Baylor Scott & White Medical Center - Irving’s median price of $1.1k is 142% above the median hospital's median price ($469), higher than 76% 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: 9 payers, 28 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 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $167.39 | $167.39 | $167.39 – $167.39 |
| 2 | Superior Healthplan medicaid facility · fee schedule · outpatient | $175.06 | $175.06 | $175.06 – $175.06 |
| 3 | Aetna medicare advantage facility · fee schedule · outpatient | $176.20 | $176.20 | $176.20 – $176.20 |
| 4 | Humana medicare facility · fee schedule · outpatient | $176.20 | $176.20 | $176.20 – $176.20 |
| 5 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $185.01 | $185.01 | $185.01 – $185.01 |
| 6 | Superior Healthplan medicare facility · fee schedule · outpatient | $185.01 | $185.01 | $185.01 – $185.01 |
| 7 | UnitedHealthcare medicaid/chip facility · fee schedule · outpatient | $187.31 | $187.31 | $187.31 – $187.31 |
| 8 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $197.34 | $197.34 | $197.34 – $197.34 |
| 9 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $211.44 | $211.44 | $211.44 – $211.44 |
| 10 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $221.13 | $221.13 | $221.13 – $221.13 |
| 11 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $290.73 | $290.73 | $290.73 – $290.73 |
| 12 | Ambetter ambetter exchange facility · fee schedule · outpatient | $378.83 | $378.83 | $378.83 – $378.83 |
| 13 | Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient | $595.86 | $595.86 | $595.86 – $595.86 |
| 14 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient | $845.50 | $845.50 | $845.50 – $845.50 |
| 15 | Blue Cross Blue Shield city of dallas facility · fee schedule · outpatient | $1,135 | $1,135 | $1,135 – $1,135 |
| 16 | Blue Cross Blue Shield blue essentials (hmo) facility · fee schedule · outpatient | $1,197 | $1,197 | $1,197 – $1,197 |
| 17 | Blue Cross Blue Shield bluechoice (ppo) facility · fee schedule · outpatient | $1,261 | $1,261 | $1,261 – $1,261 |
| 18 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · fee schedule · outpatient | $1,557 | $1,557 | $1,557 – $1,557 |
| 19 | Cigna local plus facility · fee schedule · outpatient | $1,673 | $1,673 | $1,673 – $1,673 |
| 20 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · fee schedule · outpatient | $1,832 | $1,832 | $1,832 – $1,832 |
| 21 | UnitedHealthcare charter facility · fee schedule · outpatient | $1,959 | $1,959 | $1,959 – $1,959 |
| 22 | UnitedHealthcare nexus facility · fee schedule · outpatient | $1,959 | $1,959 | $1,959 – $1,959 |
| 23 | Cigna hmo/ppo facility · fee schedule · outpatient | $1,968 | $1,968 | $1,968 – $1,968 |
| 24 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,016 | $2,016 | $2,016 – $2,016 |
| 25 | UnitedHealthcare commercial broad facility · fee schedule · outpatient | $2,177 | $2,177 | $2,177 – $2,177 |
Last updated: Jun 29, 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.