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/dye
Syracuse, NY
See all hospitals reporting CPT 72193 →Price type
Crouse Hospital’s median price of $314 is 33% below the median hospital's median price ($469), higher than 34% 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: 6 payers, 17 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 | Excellus medicare advantage fee schedule · outpatient | $191.21 | $191.21 | $191.21 – $191.21 |
| 2 | Aetna medicare fee schedule · outpatient | $218.95 | $218.95 | $218.95 – $218.95 |
| 3 | Humana medicare advantage fee schedule · outpatient | $218.95 | $218.95 | $218.95 – $218.95 |
| 4 | UnitedHealthcare medicare fee schedule · outpatient | $218.95 | $218.95 | $218.95 – $218.95 |
| 5 | WellCare medicare advantage fee schedule · outpatient | $229.90 | $229.90 | $229.90 – $229.90 |
| 6 | Excellus govt programs/ special products fee schedule · outpatient | $314.30 | $314.30 | $314.30 – $314.30 |
| 7 | Molina medicaid hmo fee schedule · outpatient | $314.30 | $314.30 | $314.30 – $314.30 |
| 8 | UnitedHealthcare essential plans 1 -4 fee schedule · outpatient | $314.30 | $314.30 | $314.30 – $314.30 |
| 9 | UnitedHealthcare medicaid fee schedule · outpatient | $314.30 | $314.30 | $314.30 – $314.30 |
| 10 | WellCare medicaid essential plan 3 and 4 fee schedule · outpatient | $314.30 | $314.30 | $314.30 – $314.30 |
| 11 | WellCare medicaid essential plan 1 and 2 fee schedule · outpatient | $377.16 | $377.16 | $377.16 – $377.16 |
| 12 | Excellus bcbs fee schedule · outpatient | $393.21 | $393.21 | $393.21 – $393.21 |
| 13 | Excellus hospital blue fee schedule · outpatient | $393.21 | $393.21 | $393.21 – $393.21 |
| 14 | Aetna commerical fee schedule · outpatient | $425.28 | $425.28 | $425.28 – $425.28 |
| 15 | Aetna raymour furniture company fee schedule · outpatient | $425.28 | $425.28 | $425.28 – $425.28 |
| 16 | Molina essential fee schedule · outpatient | $707.17 | $707.17 | $707.17 – $707.17 |
| 17 | UnitedHealthcare commerical fee schedule · outpatient | $1,837 | $1,837 | $1,837 – $1,837 |
Last updated: May 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.