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
Orange, CA
See all hospitals reporting CPT 72193 →Price type
Childrens Hospital of Orange County - Profit’s median price of $2.4k is 402% above the median hospital's median price ($469), higher than 92% 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: 13 payers, 30 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 | Medicare medicare** facility · fee schedule · outpatient | $225.59 | $225.59 | $225.59 – $225.59 |
| 3 | Bcbs Ca blue cross of california medi-cal/caloptima/healthy families facility · fee schedule · outpatient | $363.66 | $363.66 | $363.66 – $363.66 |
| 4 | Molina molina medi-cal facility · fee schedule · outpatient | $418.21 | $418.21 | $418.21 – $418.21 |
| 5 | Bcbs Ca blue cross/vivity/pih-presbyterian health/hmo facility · fee schedule · outpatient | $499.93 | $499.93 | $499.93 – $499.93 |
| 6 | Kaiser medi-cal kaiser facility · other · outpatient | $545.49 | $545.49 | $545.49 – $545.49 |
| 7 | Bcbs Ca blue cross of california hmo/pos/ppo** facility · fee schedule · outpatient | $661.96 | $661.96 | $661.96 – $661.96 |
| 8 | Bcbs Ca blue cross of california select ppo out net facility · fee schedule · outpatient | $852.58 | $852.58 | $852.58 – $852.58 |
| 9 | Bcbs Ca blue cross of california hmo/pos in net facility · fee schedule · outpatient | $897.45 | $897.45 | $897.45 – $897.45 |
| 10 | Bcbs Ca blue cross of california ppo/pos out net facility · fee schedule · outpatient | $897.45 | $897.45 | $897.45 – $897.45 |
| 11 | Aetna aetna us healthcare hmo/pos in net facility · other · outpatient | $1,865 | $1,893 | $1,663 – $2,150 |
| 12 | Aetna aetna us healthcare ppo/pos out net facility · other · outpatient | $1,865 | $1,893 | $1,663 – $2,150 |
| 13 | Oscar oscar health plan ppo epo facility · other · outpatient | $2,000 | $2,000 | $2,000 – $2,000 |
| 14 | Bcbs Ca blue shield of california uc care ppo facility · percent of total billed charges · outpatientfrom % of charges | $2,705 | $2,745 | $2,412 – $3,118 |
| 15 | Cigna cigna epo/ppo facility · other · outpatient | $2,728 | $2,768 | $2,432 – $3,144 |
| 16 | Cigna cigna healthcare of california hmo/pos in net facility · other · outpatient | $2,728 | $2,768 | $2,432 – $3,144 |
| 17 | Kaiser kaiser foundation hospitals hmo facility · percent of total billed charges · outpatientfrom % of charges | $2,741 | $2,782 | $2,444 – $3,160 |
| 18 | Magellan magellan health services hmo facility · percent of total billed charges · outpatientfrom % of charges | $2,741 | $2,782 | $2,444 – $3,160 |
| 19 | Magellan magellan health services ppo facility · percent of total billed charges · outpatientfrom % of charges | $2,741 | $2,782 | $2,444 – $3,160 |
| 20 | Blue Cross Blue Shield blue shield exchange/covered ca/ppo facility · per diem · outpatient | $3,171 | $3,218 | $2,827 – $3,655 |
| 21 | Bcbs Ca blue shield of california hmo/pos/ppo** facility · per diem · outpatient | $3,285 | $3,334 | $2,929 – $3,787 |
| 22 | Blue Cross Blue Shield blue shield calpers ppo facility · per diem · outpatient | $3,285 | $3,334 | $2,929 – $3,787 |
| 23 | First Health first health affordable epo/ppo** facility · percent of total billed charges · outpatientfrom % of charges | $3,335 | $3,385 | $2,974 – $3,845 |
| 24 | Cigna cigna behavioral health (evernorth behavioral health inc) hmo facility · percent of total billed charges · outpatientfrom % of charges | $3,655 | $3,709 | $3,259 – $4,214 |
| 25 | Cigna cigna behavioral health (evernorth behavioral health, inc.) ppo facility · percent of total billed charges · outpatientfrom % of charges | $3,655 | $3,709 | $3,259 – $4,214 |
Last updated: Mar 19, 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.