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
27700 Medical Center Rd
See all hospitals reporting CPT 72193 →Price type
Childrens Hospital at Mission - Cerner’s median price of $4.8k is 933% above the median hospital's median price ($469), higher than 99% 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, 21 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 shield-triwest-tricare programs facility · fee schedule · outpatient | $225.59 | $225.59 | $225.59 – $225.59 |
| 2 | Molina molina medical centers - medi-cal facility · fee schedule · outpatient | $363.66 | $363.66 | $363.66 – $363.66 |
| 3 | Bcbs Ca blue cross of california vivity hmo in net facility · fee schedule · outpatient | $510.78 | $510.78 | $510.78 – $510.78 |
| 4 | Kaiser medi-cal kaiser facility · other · outpatient | $545.49 | $545.49 | $545.49 – $545.49 |
| 5 | Bcbs Ca blue cross of california select ppo out net facility · fee schedule · outpatient | $818.47 | $818.47 | $818.47 – $818.47 |
| 6 | Bcbs Ca blue cross of california hmo/pos in net facility · other · outpatient | $861.56 | $861.56 | $861.56 – $861.56 |
| 7 | Bcbs Ca blue cross of california ppo/pos out net facility · other · outpatient | $861.56 | $861.56 | $861.56 – $861.56 |
| 8 | Oscar oscar health plan ppo epo facility · other · outpatient | $2,000 | $2,000 | $2,000 – $2,000 |
| 9 | Aetna aetna us healthcare hmo/pos in net facility · other · outpatient | $3,330 | $3,330 | $3,330 – $3,330 |
| 10 | Aetna aetna us healthcare ppo/pos out net facility · other · outpatient | $3,330 | $3,330 | $3,330 – $3,330 |
| 11 | Cigna cigna epo/ppo facility · other · outpatient | $4,848 | $4,848 | $4,848 – $4,848 |
| 12 | Cigna cigna healthcare hmo/pos in net facility · other · outpatient | $4,848 | $4,848 | $4,848 – $4,848 |
| 13 | Kaiser kaiser foundation hospitals hmo facility · percent of total billed charges · outpatientfrom % of charges | $4,873 | $4,873 | $4,873 – $4,873 |
| 14 | Blue Cross Blue Shield blue shield exchange/covered ca/ppo facility · other · outpatient | $5,636 | $5,636 | $5,636 – $5,636 |
| 15 | Bcbs Ca blue shield of california hmo/pos/ppo facility · other · outpatient | $5,839 | $5,839 | $5,839 – $5,839 |
| 16 | Blue Cross Blue Shield blue shield calpers ppo facility · other · outpatient | $5,839 | $5,839 | $5,839 – $5,839 |
| 17 | First Health first health affordable epo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $5,928 | $5,928 | $5,928 – $5,928 |
| 18 | Humana humana choicecare ppo facility · percent of total billed charges · outpatientfrom % of charges | $6,497 | $6,497 | $6,497 – $6,497 |
| 19 | Phcs private healthcare systems (phcs) epo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $6,497 | $6,497 | $6,497 – $6,497 |
| 20 | MultiPlan multiplan ppo facility · percent of total billed charges · inpatientfrom % of charges | $7,309 | $7,309 | $7,309 – $7,309 |
| 21 | MultiPlan multiplan ppo facility · percent of total billed charges · outpatientfrom % of charges | $7,309 | $7,309 | $7,309 – $7,309 |
Last updated: Mar 18, 2026
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