CT scan of pelvis with contrast dye at Childrens Hospital of Los Angeles

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CT PELVIS W-CONTRAST

Angeles, CA

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Pricing by billing methodology

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How this price compares nationally

Childrens Hospital of Los Angeles’s median price of $494 is 5% above the median hospital's median price ($469), higher than 52% of the 2,597 hospitals reporting CPT 72193. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72193 at Childrens Hospital of Los Angeles

Negotiated rates from the hospital’s own file: 11 payers, 37 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	Medicaid california childrens services government professional · fee schedule · outpatient	$105.92	$105.92	$105.92 – $105.92
2	Medicaid medi-cal professional · fee schedule · outpatient	$105.92	$105.92	$105.92 – $105.92
3	Molina molina mmc professional · fee schedule · outpatient	$105.92	$105.92	$105.92 – $105.92
4	Medicare medicare facility · fee schedule · outpatient	$221.98	$221.98	$221.98 – $221.98
5	Optum optum health plan facility · fee schedule · outpatient	$225.43	$225.43	$225.43 – $225.43
6	Medicare medicare professional · fee schedule · outpatient	$256.03	$256.03	$256.03 – $256.03
7	Kaiser kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges	$329.04	$329.04	$329.04 – $329.04
8	Medicaid california childrens services government facility · other · outpatient	$363.66	$363.66	$363.66 – $363.66
9	Medicaid medi-cal facility · other · outpatient	$363.66	$363.66	$363.66 – $363.66
10	Blue Cross Blue Shield blue shield marketplace facility · other · outpatient	$381.29	$381.29	$381.29 – $381.29
11	Blue Cross Blue Shield blue shield marketplace professional · fee schedule · outpatient	$381.29	$381.29	$381.29 – $381.29
12	Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$388.36	$388.36	$388.36 – $388.36
13	Aetna aetna commercial professional · fee schedule · outpatient	$388.36	$388.36	$388.36 – $388.36
14	Blue Cross Blue Shield blue shield commercial facility · other · outpatient	$401.06	$401.06	$401.06 – $401.06
15	Blue Cross Blue Shield blue shield commercial professional · fee schedule · outpatient	$401.06	$401.06	$401.06 – $401.06
16	Kaiser kaiser commercial professional · fee schedule · outpatient	$402.48	$402.48	$402.48 – $402.48
17	Cigna cigna commercial facility · per diem · outpatient	$403.00	$403.00	$403.00 – $403.00
18	Anthem anthem blue cross select professional · fee schedule · outpatient	$412.36	$412.36	$412.36 – $412.36
19	Anthem anthem blue cross commercial professional · fee schedule · outpatient	$420.76	$420.76	$420.76 – $420.76
20	UnitedHealthcare united healthcare commercial hmo professional · fee schedule · outpatient	$427.47	$427.47	$427.47 – $427.47
21	Anthem anthem blue cross marketplace professional · fee schedule · outpatient	$482.97	$482.97	$482.97 – $482.97
22	MultiPlan multiplan commercial facility · percent of total billed charges · inpatientfrom % of charges	$494.27	$494.27	$494.27 – $494.27
23	MultiPlan multiplan commercial facility · percent of total billed charges · outpatientfrom % of charges	$494.27	$494.27	$494.27 – $494.27
24	MultiPlan multiplan commercial professional · fee schedule · outpatient	$494.27	$494.27	$494.27 – $494.27
25	UnitedHealthcare united healthcare commercial ppo select professional · fee schedule · outpatient	$507.62	$507.62	$507.62 – $507.62

Page 1 of 2 · 37 rates

Last updated: Apr 10, 2026

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