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 CONTRAST
West Jordan, UT
See all hospitals reporting CPT 72193 →Price type
Catholic Health Initiatives Colorado’s median price of $1.4k is 201% above the median hospital's median price ($469), higher than 82% 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: 8 payers, 36 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 managed medicaid fee schedule · outpatient | $135.17 | $135.17 | $135.17 – $135.17 |
| 2 | Molina managed medicaid fee schedule · outpatient | $135.17 | $135.17 | $135.17 – $135.17 |
| 3 | Humana managed medicare fee schedule · outpatient | $155.86 | $155.86 | $155.86 – $155.86 |
| 4 | Medicare managed medicare fee schedule · outpatient | $155.86 | $155.86 | $155.86 – $155.86 |
| 5 | Medicare medicare fee schedule · outpatient | $155.86 | $155.86 | $155.86 – $155.86 |
| 6 | Regence commercial par fee schedule · outpatient | $175.06 | $175.06 | $175.06 – $175.06 |
| 7 | Regence commercial ppo fee schedule · outpatient | $175.06 | $175.06 | $175.06 – $175.06 |
| 8 | Regence commercial savewell fee schedule · outpatient | $175.06 | $175.06 | $175.06 – $175.06 |
| 9 | Regence commercial uvu fee schedule · outpatient | $175.06 | $175.06 | $175.06 – $175.06 |
| 10 | Cigna commercial local plus case rate · outpatient | $242.94 | $242.94 | $242.94 – $242.94 |
| 11 | Cigna commercial all other other · inpatient | $282.48 | $282.48 | $282.48 – $282.48 |
| 12 | Cigna commercial hmo/nbp/oap case rate · outpatient | $297.73 | $297.73 | $297.73 – $297.73 |
| 13 | Molina commercial ppo/pos/hmo fee schedule · outpatient | $365.59 | $365.59 | $365.59 – $365.59 |
| 14 | UnitedHealthcare commercial ppo/pos/hmo case rate · outpatient | $443.97 | $443.97 | $443.97 – $443.97 |
| 15 | Cigna commercial all other case rate · outpatient | $504.64 | $504.64 | $504.64 – $504.64 |
| 16 | Regence commercial savewell percent of total billed charges · inpatientfrom % of charges | $1,169 | $1,169 | $1,169 – $1,169 |
| 17 | Molina commercial ppo/pos/hmo percent of total billed charges · inpatientfrom % of charges | $1,349 | $1,349 | $1,349 – $1,349 |
| 18 | Aetna commercial peak performance percent of total billed charges · inpatientfrom % of charges | $1,388 | $1,388 | $1,388 – $1,388 |
| 19 | Aetna commercial peak performance percent of total billed charges · outpatientfrom % of charges | $1,388 | $1,388 | $1,388 – $1,388 |
| 20 | Regence commercial uvu percent of total billed charges · inpatientfrom % of charges | $1,440 | $1,440 | $1,440 – $1,440 |
| 21 | Aetna commercial standard network percent of total billed charges · inpatientfrom % of charges | $1,656 | $1,656 | $1,656 – $1,656 |
| 22 | Aetna commercial standard network percent of total billed charges · outpatientfrom % of charges | $1,656 | $1,656 | $1,656 – $1,656 |
| 23 | Regence commercial ppo percent of total billed charges · inpatientfrom % of charges | $1,694 | $1,694 | $1,694 – $1,694 |
| 24 | Regence commercial par percent of total billed charges · inpatientfrom % of charges | $1,886 | $1,886 | $1,886 – $1,886 |
| 25 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $2,168 | $2,168 | $2,168 – $2,168 |
Last updated: Feb 11, 2026
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