CT scan of pelvis with contrast dye at Blue Hill Memorial Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Ct pelvis w/dye

Hill, ME

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How this price compares nationally

Blue Hill Memorial Hospital’s median price of $159 is 66% below the median hospital's median price ($469), higher than 3% of the 2,597 hospitals reporting CPT 72193. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72193 at Blue Hill Memorial Hospital

Negotiated rates from the hospital’s own file: 5 payers, 31 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 mcr advantage facility · case rate · outpatient	$59.80	$59.80	$59.80 – $59.80
2	UnitedHealthcare mcr advantage facility · case rate · outpatient	$59.80	$59.80	$59.80 – $59.80
3	WellCare mcr advantage facility · case rate · outpatient	$59.80	$59.80	$59.80 – $59.80
4	Anthem mcr advantage facility · case rate · outpatient	$60.39	$60.39	$60.39 – $60.39
5	Aetna mcr advantage professional · fee schedule · outpatient	$103.23	$103.23	$50.98 – $155.47
6	Anthem mcr advantage professional · fee schedule · outpatient	$103.23	$103.23	$50.98 – $155.47
7	UnitedHealthcare mcr advantage professional · fee schedule · outpatient	$105.29	$105.29	$52.00 – $158.58
8	WellCare mcr advantage professional · fee schedule · outpatient	$105.29	$105.29	$52.00 – $158.58
9	Aetna commercial professional · fee schedule · outpatient	$180.65	$180.65	$89.22 – $272.07
10	UnitedHealthcare commercial professional · fee schedule · outpatient	$185.21	$185.21	$100.24 – $270.17
11	Anthem commercial professional · fee schedule · outpatient	$216.50	$216.50	$102.28 – $330.71
12	Anthem enhanced pathways professional · fee schedule · outpatient	$216.50	$216.50	$102.28 – $330.71
13	Cigna commercial professional · fee schedule · outpatient	$272.11	$272.11	$121.27 – $422.94
14	Anthem enhanced pathways facility · case rate · outpatient	$639.27	$639.27	$639.27 – $639.27
15	Aetna commercial facility · fee schedule · outpatient	$660.75	$660.75	$660.75 – $660.75
16	Aetna mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$804.60	$804.60	$804.60 – $804.60
17	Anthem mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$804.60	$804.60	$804.60 – $804.60
18	UnitedHealthcare mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$804.60	$804.60	$804.60 – $804.60
19	WellCare mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$804.60	$804.60	$804.60 – $804.60
20	Anthem commercial facility · case rate · outpatient	$819.58	$819.58	$819.58 – $819.58
21	Cigna commercial facility · case rate · outpatient	$964.26	$964.26	$964.26 – $964.26
22	Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges	$1,162	$1,162	$1,162 – $1,162
23	Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,162	$1,162	$1,162 – $1,162
24	Anthem enhanced pathways facility · percent of total billed charges · inpatientfrom % of charges	$1,162	$1,162	$1,162 – $1,162
25	Anthem enhanced pathways facility · percent of total billed charges · outpatientfrom % of charges	$1,162	$1,162	$1,162 – $1,162

Page 1 of 2 · 31 rates

Last updated: Mar 30, 2026

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