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
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 | Anthem commercial professional · fee schedule · both | $50.83 | $77.35 | $50.83 – $156.89 |
| 3 | Anthem medicare advantage professional · fee schedule · both | $50.83 | $77.35 | $50.83 – $156.89 |
| 4 | Caresource medicare advantage professional · fee schedule · both | $50.83 | $77.35 | $50.83 – $156.89 |
| 5 | Humana commercial professional · fee schedule · both | $50.83 | $77.35 | $50.83 – $156.89 |
| 6 | Humana medicare advantage professional · fee schedule · both | $50.83 | $77.35 | $50.83 – $156.89 |
| 7 | Molina dual medicare/medicaid professional · fee schedule · both | $50.83 | $77.35 | $50.83 – $156.89 |
| 8 | Molina medicare advantage professional · fee schedule · both | $50.83 | $77.35 | $50.83 – $156.89 |
| 9 | WellCare medicare advantage professional · fee schedule · both | $50.83 | $77.35 | $50.83 – $156.89 |
| 10 | Bcbs Il dual medicare/medicaid professional · fee schedule · both | $51.85 | $78.90 | $51.85 – $160.03 |
| 11 | Bcbs Il medicare advantage professional · fee schedule · both | $51.85 | $78.90 | $51.85 – $160.03 |
| 12 | Anthem managed medicaid professional · fee schedule · both | $51.31 | $79.32 | $51.31 – $163.34 |
| 13 | Caresource managed medicaid professional · fee schedule · both | $51.31 | $79.32 | $51.31 – $163.34 |
| 14 | Aetna Better Health managed medicaid professional · fee schedule · both | $75.29 | $79.37 | $49.66 – $184.84 |
| 15 | Molina managed medicaid professional · fee schedule · both | $75.29 | $79.37 | $49.66 – $184.84 |
| 16 | UnitedHealthcare managed medicaid professional · fee schedule · both | $51.31 | $81.39 | $49.66 – $184.84 |
| 17 | UnitedHealthcare commercial professional · fee schedule · both | $56.75 | $82.43 | $50.83 – $169.61 |
| 18 | Humana managed medicaid professional · fee schedule · both | $49.66 | $83.46 | $49.66 – $184.84 |
| 19 | WellCare managed medicaid professional · fee schedule · both | $49.66 | $83.46 | $49.66 – $184.84 |
| 20 | Ambetter commercial professional · fee schedule · both | $58.45 | $88.94 | $58.45 – $180.42 |
| 21 | Caresource commercial professional · fee schedule · both | $66.08 | $100.55 | $66.08 – $203.96 |
| 22 | Anthem hmo professional · fee schedule · both | $75.20 | $111.85 | $75.20 – $221.81 |
| 23 | Anthem hmo/ppo/traditional professional · fee schedule · both | $75.20 | $111.85 | $75.20 – $221.81 |
| 24 | Anthem managed medicaid facility · case rate · outpatient | $123.28 | $123.28 | $123.28 – $123.28 |
| 25 | Caresource managed medicaid facility · case rate · outpatient | $123.28 | $123.28 | $123.28 – $123.28 |
Last updated: Feb 13, 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.