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
MR PELVIS WO AND W CON
Folsom, CA
See all hospitals reporting CPT 72197 →Price type
Dignity Health’s median price of $1.0k is 19% above the median hospital's median price ($879), higher than 56% of the 2,630 hospitals reporting CPT 72197. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 29 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 | UnitedHealthcare medicaid|< 21 fee schedule · outpatient | $333 | $333 | — | — | — | $333 – $333 |
| 2 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $333 | $333 | — | — | — | $333 – $333 |
| 3 | Anthem medicare|all other plans fee schedule · outpatient | $443 | $443 | — | — | — | $443 – $443 |
| 4 | Aetna medicare|all plans fee schedule · outpatient | $469 | $469 | — | — | — | $469 – $469 |
| 5 | Blue Cross Blue Shield medicare|hmo case rate · outpatient | $469 | $469 | — | — | — | $469 – $469 |
| 6 | Blue Cross Blue Shield medicare|ppo fee schedule · outpatient | $469 | $469 | — | — | — | $469 – $469 |
| 7 | Humana commercial|all plans fee schedule · outpatient | $469 | $469 | — | — | — | $469 – $469 |
| 8 | Kaiser medicare|all plans case rate · outpatient | $469 | $469 | — | — | — | $469 – $469 |
| 9 | UnitedHealthcare medicare|all plans case rate · outpatient | $469 | $469 | — | — | — | $469 – $469 |
| 10 | Anthem medicare|imperial fee schedule · outpatient | $483 | $483 | — | — | — | $483 – $483 |
| 11 | Molina medicaid|all plans fee schedule · outpatient | $626 | $626 | — | — | — | $626 – $626 |
| 12 | Anthem medicaid|all plans fee schedule · outpatient | $633 | $633 | — | — | — | $633 – $633 |
| 13 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $828 | $828 | — | — | — | $828 – $828 |
| 14 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $828 | $828 | — | — | — | $828 – $828 |
| 15 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $828 | $828 | — | — | — | $828 – $828 |
| 16 | Aetna commercial|all other plans fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | Aetna commercial|hmo fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | Aetna commercial|ppo fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | Kaiser medicaid|all plans fee schedule · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 20 | Cigna commercial|localplus fee schedule · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 21 | Anthem commercial|connection epo fee schedule · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 22 | First Health commercial|all plans fee schedule · inpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 23 | First Health commercial|all plans fee schedule · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 24 | Cigna commercial|all other plans fee schedule · outpatient | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 25 | Anthem commercial|all other plans fee schedule · outpatient | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
Last updated: Feb 28, 2026
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