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 PELVIS W CON
South Haven, MI
See all hospitals reporting CPT 72193 →Price type
Bronson South Haven Hospital’s median price of $242 is 49% below the median hospital's median price ($469), higher than 23% 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: 6 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.
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| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare medicaid facility · fee schedule · outpatient | $91.40 | $91.40 | $91.40 – $91.40 |
| 2 | Blue Cross Blue Shield complete facility · fee schedule · outpatient | $95.98 | $95.98 | $95.98 – $95.98 |
| 3 | Aetna medicare facility · fee schedule · outpatient | $174.77 | $174.77 | $174.77 – $174.77 |
| 4 | Blue Cross Blue Shield mappo facility · fee schedule · outpatient | $174.77 | $174.77 | $174.77 – $174.77 |
| 5 | Humana choice ppo medicare facility · fee schedule · outpatient | $174.77 | $174.77 | $174.77 – $174.77 |
| 6 | UnitedHealthcare dual complete dsnp/medicare advantage facility · fee schedule · outpatient | $174.77 | $174.77 | $174.77 – $174.77 |
| 7 | Molina medicare/medicaid facility · fee schedule · outpatient | $192.25 | $192.25 | $192.25 – $192.25 |
| 8 | Aetna medicare professional · fee schedule · both | $210.08 | $210.08 | $210.08 – $210.08 |
| 9 | Blue Cross Blue Shield mappo professional · fee schedule · both | $210.08 | $210.08 | $210.08 – $210.08 |
| 10 | UnitedHealthcare dual complete dsnp/medicare advantage professional · fee schedule · both | $210.08 | $210.08 | $210.08 – $210.08 |
| 11 | Molina medicare/medicaid professional · fee schedule · both | $231.09 | $231.09 | $231.09 – $231.09 |
| 12 | UnitedHealthcare exchange facility · fee schedule · outpatient | $270.89 | $270.89 | $270.89 – $270.89 |
| 13 | Aetna commercial professional · fee schedule · both | $281.51 | $281.51 | $281.51 – $281.51 |
| 14 | UnitedHealthcare all payor (choice/ppo) + core professional · fee schedule · both | $340.42 | $340.42 | $340.42 – $340.42 |
| 15 | UnitedHealthcare exchange professional · fee schedule · both | $340.42 | $340.42 | $340.42 – $340.42 |
| 16 | Blue Cross Blue Shield trust/ppo facility · percent of total billed charges · inpatientfrom % of charges | $1,622 | $1,622 | $1,622 – $1,622 |
| 17 | Blue Cross Blue Shield trust/ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,629 | $1,629 | $1,629 – $1,629 |
| 18 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,679 | $1,679 | $1,679 – $1,679 |
| 19 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,679 | $1,679 | $1,679 – $1,679 |
| 20 | UnitedHealthcare all payor (choice/ppo) + core facility · percent of total billed charges · inpatientfrom % of charges | $1,738 | $1,738 | $1,738 – $1,738 |
| 21 | UnitedHealthcare all payor (choice/ppo) + core facility · percent of total billed charges · outpatientfrom % of charges | $1,738 | $1,738 | $1,738 – $1,738 |
| 22 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,778 | $1,778 | $1,778 – $1,778 |
| 23 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,778 | $1,778 | $1,778 – $1,778 |
Last updated: Aug 3, 2026
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