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 Scan of Pelvis Contrast - CT Pelvis W Contrast
Falls, MT
See all hospitals reporting CPT 72193 →Price type
Benefis Hospitals Inc’s median price of $256 is 46% below the median hospital's median price ($469), higher than 25% 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: 12 payers, 29 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 | Tricare bhs hb tricare other · outpatient | $178.02 | $178.02 | $178.02 – $178.02 |
| 2 | Aetna bhs hb medicare other · outpatient | $179.20 | $179.20 | $179.20 – $179.20 |
| 3 | Anthem bhs hb medicare other · outpatient | $179.20 | $179.20 | $179.20 – $179.20 |
| 4 | Blue Cross Blue Shield bhs hb medicare other · outpatient | $179.20 | $179.20 | $179.20 – $179.20 |
| 5 | Kaiser bhs hb medicare other · outpatient | $179.20 | $179.20 | $179.20 – $179.20 |
| 6 | Medicare bhs hb medicare other · outpatient | $179.20 | $179.20 | $179.20 – $179.20 |
| 7 | WellCare bhs hb medicare other · outpatient | $179.20 | $179.20 | $179.20 – $179.20 |
| 8 | Cigna bhs hb allegiance fee schedule · outpatient | $255.70 | $255.70 | $255.70 – $255.70 |
| 9 | Healthpartners bhs hb allegiance fee schedule · outpatient | $255.70 | $255.70 | $255.70 – $255.70 |
| 10 | Kaiser bhs hb allegiance fee schedule · outpatient | $255.70 | $255.70 | $255.70 – $255.70 |
| 11 | Medical Mutual bhs hb allegiance fee schedule · outpatient | $255.70 | $255.70 | $255.70 – $255.70 |
| 12 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids fee schedule · outpatient | $296.55 | $296.55 | $296.55 – $296.55 |
| 13 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges | $650.98 | $650.98 | $81.90 – $1,220 |
| 14 | Blue Cross Blue Shield bhs hb bcbs employee health plan fee schedule · outpatient | $686.62 | $686.62 | $686.62 – $686.62 |
| 15 | Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · inpatientfrom % of charges | $751.13 | $751.13 | $94.50 – $1,408 |
| 16 | Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges | $801.20 | $801.20 | $100.80 – $1,502 |
| 17 | Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges | $815.22 | $815.22 | $102.56 – $1,528 |
| 18 | Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges | $851.28 | $851.28 | $107.10 – $1,595 |
| 19 | Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · inpatientfrom % of charges | $851.28 | $851.28 | $107.10 – $1,595 |
| 20 | Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · inpatientfrom % of charges | $861.29 | $861.29 | $108.36 – $1,614 |
| 21 | Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $901.35 | $901.35 | $113.40 – $1,689 |
| 22 | Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $901.35 | $901.35 | $113.40 – $1,689 |
| 23 | Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $901.35 | $901.35 | $113.40 – $1,689 |
| 24 | Medical Mutual bhs hb allegiance percent of total billed charges · inpatientfrom % of charges | $901.35 | $901.35 | $113.40 – $1,689 |
| 25 | Blue Cross Blue Shield bhs hb bcbs blue options fee schedule · outpatient | $915.50 | $915.50 | $915.50 – $915.50 |
Last updated: Mar 26, 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.