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
Hc Ct Scan Of Pelvis Contrast
Mesquite, TX
See all hospitals reporting CPT 72193 →Price type
Dallas Regional Medical Center’s median price of $184 is 61% below the median hospital's median price ($469), higher than 9% 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, 34 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 triwest - bcbs fee schedule · outpatient | $170.08 | $170.08 | $170.08 – $170.08 |
| 2 | Blue Cross Blue Shield bcbs medicaid fee schedule · outpatient | $175.06 | $175.06 | $175.06 – $175.06 |
| 3 | Cigna Healthspring cigna healthspring medicaid fee schedule · outpatient | $175.06 | $175.06 | $175.06 – $175.06 |
| 4 | UnitedHealthcare uhc medicaid fee schedule · outpatient | $175.06 | $175.06 | $175.06 – $175.06 |
| 5 | UnitedHealthcare uhc star kids medicaid fee schedule · outpatient | $175.06 | $175.06 | $175.06 – $175.06 |
| 6 | UnitedHealthcare uhc star medicaid fee schedule · outpatient | $175.06 | $175.06 | $175.06 – $175.06 |
| 7 | WellCare superior health plan chip medicaid fee schedule · outpatient | $175.06 | $175.06 | $175.06 – $175.06 |
| 8 | WellCare superior health plan star kids medicaid fee schedule · outpatient | $175.06 | $175.06 | $175.06 – $175.06 |
| 9 | WellCare superior health plan star medicaid fee schedule · outpatient | $175.06 | $175.06 | $175.06 – $175.06 |
| 10 | Aetna aetna medicare advantage fee schedule · outpatient | $175.34 | $175.34 | $175.34 – $175.34 |
| 11 | Blue Cross Blue Shield bcbs medicare hmo/ppo fee schedule · outpatient | $175.34 | $175.34 | $175.34 – $175.34 |
| 12 | Cigna Healthspring cigna healthspring medicare advantage fee schedule · outpatient | $175.34 | $175.34 | $175.34 – $175.34 |
| 13 | Cigna Healthspring cigna healthspring mmp dual eligible fee schedule · outpatient | $175.34 | $175.34 | $175.34 – $175.34 |
| 14 | Tricare tricare fee schedule · outpatient | $175.34 | $175.34 | $175.34 – $175.34 |
| 15 | UnitedHealthcare uhc medicare advantage fee schedule · outpatient | $175.34 | $175.34 | $175.34 – $175.34 |
| 16 | WellCare superior health plan medicare advantage/mmp dual eligible fee schedule · outpatient | $175.34 | $175.34 | $175.34 – $175.34 |
| 17 | Cigna Healthspring cigna healthspring medicare advantage ppo fee schedule · outpatient | $180.60 | $180.60 | $180.60 – $180.60 |
| 18 | UnitedHealthcare uhc commercial all payor fee schedule · outpatient | $182.22 | $182.22 | $182.22 – $182.22 |
| 19 | UnitedHealthcare uhc commercial options ppo fee schedule · outpatient | $182.22 | $182.22 | $182.22 – $182.22 |
| 20 | Molina molina medicare advantage mmp fee schedule · outpatient | $184.11 | $184.11 | $184.11 – $184.11 |
| 21 | MultiPlan multiplan medicare fee schedule · outpatient | $184.11 | $184.11 | $184.11 – $184.11 |
| 22 | Molina molina chip medicaid fee schedule · outpatient | $185.56 | $185.56 | $185.56 – $185.56 |
| 23 | WellCare superior commercial exchange epo hmo fee schedule · outpatient | $227.94 | $227.94 | $227.94 – $227.94 |
| 24 | Aetna aetna exchange fee schedule · outpatient | $263.01 | $263.01 | $263.01 – $263.01 |
| 25 | Aetna aetna commercial fee schedule · outpatient | $299.12 | $299.12 | $299.12 – $299.12 |
Last updated: Sep 1, 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.