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 (PELW)
DELTA, CO
See all hospitals reporting CPT 72193 →Price type
Delta County Memorial Hospital’s median price of $402 is 14% below the median hospital's median price ($469), higher than 45% 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, 15 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 | Aetna aetna medicare advantage other · outpatient | $185.03 | $185.03 | $185.03 – $185.03 |
| 2 | Blue Cross Blue Shield bcbs medicare advantage other · outpatient | $185.03 | $185.03 | $185.03 – $185.03 |
| 3 | Humana humana medicare advantage other · outpatient | $185.03 | $185.03 | $185.03 – $185.03 |
| 4 | Medicare medicare other · outpatient | $185.03 | $185.03 | $185.03 – $185.03 |
| 5 | Tricare tricare other · outpatient | $185.03 | $185.03 | $185.03 – $185.03 |
| 6 | UnitedHealthcare uhc medicare advantage other · outpatient | $185.03 | $185.03 | $185.03 – $185.03 |
| 7 | Cigna cigna medicare advantage other · outpatient | $194.28 | $194.28 | $194.28 – $194.28 |
| 8 | UnitedHealthcare uhc rmhp medicaid colorado other · outpatient | $402.31 | $402.31 | $402.31 – $402.31 |
| 9 | UnitedHealthcare united healthcare chip other · outpatient | $402.31 | $402.31 | $402.31 – $402.31 |
| 10 | Anthem anthem bcbs- ppo/hmo standard network percent of total billed charges · outpatientfrom % of charges | $937.64 | $937.64 | $419.48 – $1,456 |
| 11 | UnitedHealthcare united healthcare percent of total billed charges · outpatientfrom % of charges | $1,015 | $1,015 | $454.00 – $1,576 |
| 12 | Anthem anthem bcbs- ppo/hmo non standard (pathway) percent of total billed charges · outpatientfrom % of charges | $1,041 | $1,041 | $465.64 – $1,616 |
| 13 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $1,275 | $1,275 | $570.41 – $1,980 |
| 14 | Cigna cigna percent of total billed charges · outpatientfrom % of charges | $1,275 | $1,275 | $570.41 – $1,980 |
| 15 | Humana humana commercial plan percent of total billed charges · outpatientfrom % of charges | $1,275 | $1,275 | $570.41 – $1,980 |
Last updated: Aug 24, 2026
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