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
CT PELVIS W CONTRAST
Bolivia, NC
See all hospitals reporting CPT 72193 →Price type
Brunswick Community Hospital, LLC’s median price of $380 is 19% below the median hospital's median price ($469), higher than 40% 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: 11 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.
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| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield blue medicare fee schedule · outpatient | $188.13 | $188.13 | $188.13 – $188.13 |
| 2 | Humana medicare fee schedule · outpatient | $188.13 | $188.13 | $188.13 – $188.13 |
| 3 | UnitedHealthcare medicare fee schedule · outpatient | $188.13 | $188.13 | $188.13 – $188.13 |
| 4 | Aetna medicare fee schedule · outpatient | $192.83 | $192.83 | $192.83 – $192.83 |
| 5 | Cigna healthspring fee schedule · outpatient | $193.77 | $193.77 | $193.77 – $193.77 |
| 6 | Blue Cross Blue Shield healthy blue medicaid fee schedule · outpatient | $379.67 | $379.67 | $379.67 – $379.67 |
| 7 | UnitedHealthcare medicaid fee schedule · outpatient | $379.67 | $379.67 | $379.67 – $379.67 |
| 8 | WellCare medicaid fee schedule · outpatient | $379.67 | $379.67 | $379.67 – $379.67 |
| 9 | Ambetter all plans fee schedule · outpatient | $423.29 | $423.29 | $423.29 – $423.29 |
| 10 | Cigna aca fee schedule · outpatient | $1,036 | $1,036 | $1,036 – $1,036 |
| 11 | Caresource qualified health plan fee schedule · outpatient | $1,058 | $1,058 | $1,058 – $1,058 |
| 12 | Blue Cross Blue Shield blue value fee schedule · outpatient | $1,285 | $1,285 | $1,285 – $1,285 |
| 13 | Cigna commercial fee schedule · outpatient | $1,467 | $1,467 | $1,467 – $1,467 |
| 14 | UnitedHealthcare all payer fee schedule · outpatient | $1,621 | $1,621 | $1,621 – $1,621 |
| 15 | Blue Cross Blue Shield blue home fee schedule · outpatient | $1,645 | $1,645 | $1,645 – $1,645 |
| 16 | Blue Cross Blue Shield hmo fee schedule · outpatient | $1,645 | $1,645 | $1,645 – $1,645 |
| 17 | Blue Cross Blue Shield ppo fee schedule · outpatient | $1,645 | $1,645 | $1,645 – $1,645 |
| 18 | Aetna commercial fee schedule · outpatient | $1,830 | $1,830 | $1,830 – $1,830 |
| 19 | Medcost mbs fee schedule · outpatient | $1,991 | $1,991 | $1,991 – $1,991 |
| 20 | Aetna aca fee schedule · outpatient | $2,115 | $2,115 | $2,115 – $2,115 |
| 21 | Aetna non-par products of apcn fee schedule · outpatient | $2,115 | $2,115 | $2,115 – $2,115 |
| 22 | Aetna whole health non-multitier fee schedule · outpatient | $2,115 | $2,115 | $2,115 – $2,115 |
| 23 | Medcost non-mbs fee schedule · outpatient | $2,218 | $2,218 | $2,218 – $2,218 |
| 24 | Aetna first health fee schedule · outpatient | $2,247 | $2,247 | $2,247 – $2,247 |
| 25 | Aetna rental network products fee schedule · outpatient | $2,247 | $2,247 | $2,247 – $2,247 |
Last updated: Mar 30, 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.