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 Material
Saginaw, MI
See all hospitals reporting CPT 72193 →Price type
Covenant Medical Center Inc’s median price of $210 is 55% below the median hospital's median price ($469), higher than 16% 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, 25 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 | Bcbs Mi managed medicaid facility · case rate · outpatient | $93.72 | $93.72 | $93.72 – $93.72 |
| 2 | Molina managed medicaid facility · case rate · outpatient | $93.72 | $93.72 | $93.72 – $93.72 |
| 3 | Aetna medicare advantage professional · fee schedule · both | $157.50 | $140.05 | $52.58 – $210.08 |
| 4 | Bcbs Mi managed medicaid professional · fee schedule · both | $157.50 | $140.05 | $52.58 – $210.08 |
| 5 | Humana ppo medicare advantage professional · fee schedule · both | $157.50 | $140.05 | $52.58 – $210.08 |
| 6 | Molina managed medicaid professional · fee schedule · both | $157.50 | $140.05 | $52.58 – $210.08 |
| 7 | Molina medicare advantage professional · fee schedule · both | $157.50 | $140.05 | $52.58 – $210.08 |
| 8 | Aetna medicare advantage facility · case rate · outpatient | $179.20 | $179.20 | $179.20 – $179.20 |
| 9 | Humana ppo medicare advantage facility · case rate · outpatient | $179.20 | $179.20 | $179.20 – $179.20 |
| 10 | Molina medicare advantage facility · case rate · outpatient | $179.20 | $179.20 | $179.20 – $179.20 |
| 11 | Aetna commercial professional · fee schedule · both | $299.99 | $224.99 | $74.99 – $299.99 |
| 12 | Humana commercial professional · percent of total billed charges · bothfrom % of charges | $294.00 | $240.00 | $69.75 – $356.25 |
| 13 | Anthem commercial professional · fee schedule · both | $280.68 | $244.99 | $86.81 – $367.49 |
| 14 | Blue Cross Blue Shield commercial professional · fee schedule · both | $280.68 | $244.99 | $86.81 – $367.49 |
| 15 | MultiPlan commercial professional · percent of total billed charges · bothfrom % of charges | $352.80 | $288.00 | $83.70 – $427.50 |
| 16 | Anthem commercial facility · fee schedule · outpatient | $348.21 | $348.21 | $348.21 – $348.21 |
| 17 | Blue Cross Blue Shield commercial facility · fee schedule · outpatient | $348.21 | $348.21 | $348.21 – $348.21 |
| 18 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,159 | $1,159 | $1,159 – $1,159 |
| 19 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,159 | $1,159 | $1,159 – $1,159 |
| 20 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,549 | $1,549 | $1,549 – $1,549 |
| 21 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,549 | $1,549 | $1,549 – $1,549 |
| 22 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,581 | $1,581 | $1,581 – $1,581 |
| 23 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,581 | $1,581 | $1,581 – $1,581 |
| 24 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,897 | $1,897 | $1,897 – $1,897 |
| 25 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,897 | $1,897 | $1,897 – $1,897 |
Last updated: May 15, 2026
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