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
CHG CT PELVIS W/CONTRAST MATERIAL
Hudson, NY
See all hospitals reporting CPT 72193 →Price type
Columbia Memorial Hospital’s median price of $60 is 87% below the median hospital's median price ($469), higher than 0% 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: 7 payers, 59 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 | UnitedHealthcare medicaid_fac professional · fee schedule · outpatient | $22.53 | $22.53 | $22.53 – $22.53 |
| 2 | UnitedHealthcare medicaid_nonfac professional · fee schedule · outpatient | $22.53 | $22.53 | $22.53 – $22.53 |
| 3 | Tricare all products_nonphysician_fac professional · fee schedule · outpatient | $47.87 | $47.87 | $47.87 – $47.87 |
| 4 | Tricare all products_nonphysician_nonfac professional · fee schedule · outpatient | $47.87 | $47.87 | $47.87 – $47.87 |
| 5 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_fac professional · fee schedule · outpatient | $47.88 | $47.88 | $47.88 – $47.88 |
| 6 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_nonfac professional · fee schedule · outpatient | $47.88 | $47.88 | $47.88 – $47.88 |
| 7 | Blue Cross Blue Shield essentialnonaliessa_ancillary providers_fac professional · fee schedule · outpatient | $47.88 | $47.88 | $47.88 – $47.88 |
| 8 | Blue Cross Blue Shield essentialnonaliessa_ancillary providers_nonfac professional · fee schedule · outpatient | $47.88 | $47.88 | $47.88 – $47.88 |
| 9 | UnitedHealthcare medicare_fac professional · fee schedule · outpatient | $47.88 | $47.88 | $47.88 – $47.88 |
| 10 | UnitedHealthcare medicare_nonfac professional · fee schedule · outpatient | $47.88 | $47.88 | $47.88 – $47.88 |
| 11 | Blue Cross Blue Shield blue access_fac professional · fee schedule · outpatient | $52.32 | $52.32 | $52.32 – $52.32 |
| 12 | Blue Cross Blue Shield blue access_nonfac professional · fee schedule · outpatient | $52.32 | $52.32 | $52.32 – $52.32 |
| 13 | UnitedHealthcare all products_fac professional · fee schedule · outpatient | $54.08 | $54.08 | $54.08 – $54.08 |
| 14 | UnitedHealthcare all products_nonfac professional · fee schedule · outpatient | $54.08 | $54.08 | $54.08 – $54.08 |
| 15 | Blue Cross Blue Shield hmo_fac professional · fee schedule · outpatient | $55.40 | $55.40 | $55.40 – $55.40 |
| 16 | Blue Cross Blue Shield hmo_nonfac professional · fee schedule · outpatient | $55.40 | $55.40 | $55.40 – $55.40 |
| 17 | Tricare all products_physician_fac professional · fee schedule · outpatient | $56.32 | $56.32 | $56.32 – $56.32 |
| 18 | Tricare all products_physician_nonfac professional · fee schedule · outpatient | $56.32 | $56.32 | $56.32 – $56.32 |
| 19 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_md_fac professional · fee schedule · outpatient | $56.33 | $56.33 | $56.33 – $56.33 |
| 20 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_md_nonfac professional · fee schedule · outpatient | $56.33 | $56.33 | $56.33 – $56.33 |
| 21 | Blue Cross Blue Shield essentialnonaliessa_md_fac professional · fee schedule · outpatient | $56.33 | $56.33 | $56.33 – $56.33 |
| 22 | Blue Cross Blue Shield essentialnonaliessa_md_nonfac professional · fee schedule · outpatient | $56.33 | $56.33 | $56.33 – $56.33 |
| 23 | Blue Cross Blue Shield medicare_fac professional · fee schedule · outpatient | $56.33 | $56.33 | $56.33 – $56.33 |
| 24 | Blue Cross Blue Shield medicare_nonfac professional · fee schedule · outpatient | $56.33 | $56.33 | $56.33 – $56.33 |
| 25 | Blue Cross Blue Shield pathway enhanced_fac professional · fee schedule · outpatient | $57.62 | $57.62 | $57.62 – $57.62 |
Last updated: Dec 31, 2025
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.