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
72193 CT PELVIS C+
Jervis, NY
See all hospitals reporting CPT 72193 →Price type
Bon Secours Community Hospital’s median price of $1.3k is 175% above the median hospital's median price ($469), higher than 79% 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: 10 payers, 17 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 | Medicare medicare facility · fee schedule · outpatient | $218.95 | $218.95 | $218.95 – $218.95 |
| 2 | Tricare tricare facility · fee schedule · outpatient | $218.95 | $218.95 | $218.95 – $218.95 |
| 3 | Molina affinity by molina mcr facility · fee schedule · outpatient | $228.77 | $228.77 | $228.77 – $228.77 |
| 4 | Aetna aetna hp network facility · fee schedule · outpatient | $535.74 | $535.74 | $535.74 – $535.74 |
| 5 | Aetna aetna facility · fee schedule · outpatient | $596.10 | $596.10 | $596.10 – $596.10 |
| 6 | Aetna aetna employee facility · fee schedule · outpatient | $596.10 | $596.10 | $596.10 – $596.10 |
| 7 | Cigna cigna ppo facility · fee schedule · outpatient | $705.19 | $705.19 | $705.19 – $705.19 |
| 8 | Blue Cross Blue Shield blue cross connection/exchange facility · percent of total billed charges · outpatientfrom % of charges | $1,290 | $1,290 | $1,290 – $1,290 |
| 9 | Blue Cross Blue Shield blue cross small group facility · fee schedule · outpatient | $1,979 | $1,979 | $1,979 – $1,979 |
| 10 | Blue Cross Blue Shield blue cross hmo facility · fee schedule · outpatient | $2,034 | $2,034 | $2,034 – $2,034 |
| 11 | UnitedHealthcare uhc exchange facility · fee schedule · outpatient | $2,532 | $2,532 | $2,532 – $2,532 |
| 12 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $2,547 | $2,547 | $2,547 – $2,547 |
| 13 | Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges | $2,547 | $2,547 | $2,547 – $2,547 |
| 14 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $2,887 | $2,887 | $2,887 – $2,887 |
| 15 | UnitedHealthcare uhc commercial facility · fee schedule · outpatient | $2,979 | $2,979 | $2,979 – $2,979 |
| 16 | UnitedHealthcare uhc empire facility · fee schedule · outpatient | $2,979 | $2,979 | $2,979 – $2,979 |
| 17 | Blue Cross Blue Shield blue cross access facility · fee schedule · outpatient | $10,176 | $10,176 | $10,176 – $10,176 |
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.