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
XR PELVIS CMPL 3+ VIEWS
Los Angeles, CA
See all hospitals reporting CPT 72190 →Price type
Dignity Community Care’s median price of $136 is 8% below the median hospital's median price ($147), higher than 46% of the 2,549 hospitals reporting CPT 72190. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 28 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 | Anthem medicaid|all plans fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 2 | Molina medicaid|< 21 fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 3 | Molina medicaid|> 21 fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 4 | Kaiser medicaid|< 21 fee schedule · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 5 | Kaiser medicaid|> 21 fee schedule · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 6 | Aetna medicare|all plans fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 7 | Anthem medicare|all plans fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 8 | Blue Cross Blue Shield medicare|all other plans case rate · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 9 | Molina medicare|all plans fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 10 | UnitedHealthcare medicare|all plans case rate · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 11 | Anthem commercial|exchange fee schedule · outpatient | $153 | $153 | — | — | — | $153 – $153 |
| 12 | Aetna commercial|all other plans fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 13 | Aetna commercial|hmo fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 14 | Aetna commercial|ppo fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 15 | Blue Cross Blue Shield medicaid|all plans fee schedule · outpatient | $226 | $226 | — | — | — | $226 – $226 |
| 16 | Anthem commercial|all other plans fee schedule · outpatient | $232 | $232 | — | — | 1–10 | $232 – $232 |
| 17 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 18 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 19 | Anthem commercial|mcs fee schedule · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 20 | First Health commercial|all plans fee schedule · inpatient | $375 | $375 | — | — | — | $375 – $375 |
| 21 | First Health commercial|all plans fee schedule · outpatient | $375 | $375 | — | — | — | $375 – $375 |
| 22 | Kaiser commercial|all plans fee schedule · inpatient | $381 | $381 | — | — | — | $381 – $381 |
| 23 | Kaiser commercial|all plans fee schedule · outpatient | $381 | $381 | — | — | — | $381 – $381 |
| 24 | Cigna commercial|all other plans fee schedule · outpatient | $394 | $394 | — | — | — | $394 – $394 |
| 25 | Cigna commercial|ppo fee schedule · outpatient | $394 | $394 | — | — | — | $394 – $394 |
Last updated: Feb 28, 2026
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