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 PELVIS W/CONTRAST
Newburgh, IN
See all hospitals reporting CPT 72193 →Price type
Deaconess Hospital, Inc’s median price of $81 is 83% below the median hospital's median price ($469), higher than 1% 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, 58 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 Il managed medicaid professional · fee schedule · both | $75.29 | $75.29 | $75.29 – $75.29 |
| 2 | Ambetter commercial professional · fee schedule · both | $50.83 | $77.35 | $50.83 – $156.89 |
| 3 | Anthem commercial professional · fee schedule · both | $50.83 | $77.35 | $50.83 – $156.89 |
| 4 | Anthem medicare advantage professional · fee schedule · both | $50.83 | $77.35 | $50.83 – $156.89 |
| 5 | Bcbs Il dual medicare/medicaid professional · fee schedule · both | $50.83 | $77.35 | $50.83 – $156.89 |
| 6 | Bcbs Il medicare advantage professional · fee schedule · both | $50.83 | $77.35 | $50.83 – $156.89 |
| 7 | Humana fide-snp professional · fee schedule · both | $50.83 | $77.35 | $50.83 – $156.89 |
| 8 | Humana medicare advantage professional · fee schedule · both | $50.83 | $77.35 | $50.83 – $156.89 |
| 9 | Molina dual medicare/medicaid professional · fee schedule · both | $50.83 | $77.35 | $50.83 – $156.89 |
| 10 | Molina fide-snp professional · fee schedule · both | $50.83 | $77.35 | $50.83 – $156.89 |
| 11 | UnitedHealthcare government professional · fee schedule · both | $50.83 | $77.35 | $50.83 – $156.89 |
| 12 | UnitedHealthcare medicare advantage professional · fee schedule · both | $50.83 | $77.35 | $50.83 – $156.89 |
| 13 | WellCare dual medicare/medicaid professional · fee schedule · both | $50.83 | $77.35 | $50.83 – $156.89 |
| 14 | WellCare medicare advantage professional · fee schedule · both | $50.83 | $77.35 | $50.83 – $156.89 |
| 15 | WellCare managed medicaid professional · fee schedule · both | $75.29 | $78.01 | $49.66 – $184.84 |
| 16 | Anthem managed medicaid professional · fee schedule · both | $51.31 | $79.32 | $51.31 – $163.34 |
| 17 | Caresource managed medicaid professional · fee schedule · both | $51.31 | $79.32 | $51.31 – $163.34 |
| 18 | Aetna Better Health managed medicaid professional · fee schedule · both | $75.29 | $79.37 | $49.66 – $184.84 |
| 19 | Molina managed medicaid professional · fee schedule · both | $75.29 | $79.37 | $49.66 – $184.84 |
| 20 | UnitedHealthcare managed medicaid professional · fee schedule · both | $51.31 | $81.39 | $49.66 – $184.84 |
| 21 | Humana managed medicaid professional · fee schedule · both | $49.66 | $83.46 | $49.66 – $184.84 |
| 22 | UnitedHealthcare commercial professional · fee schedule · both | $56.75 | $84.97 | $56.75 – $169.61 |
| 23 | Caresource commercial professional · fee schedule · both | $66.08 | $100.55 | $66.08 – $203.96 |
| 24 | Anthem hmo professional · fee schedule · both | $75.20 | $111.85 | $75.20 – $221.81 |
| 25 | Anthem commercial facility · per diem · outpatient | $180.43 | $180.43 | $180.43 – $180.43 |
Last updated: Feb 11, 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.