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
Elizabethtown, NY
See all hospitals reporting CPT 72193 →Price type
Elizabethtown Community Hospital’s median price of $268 is 43% below the median hospital's median price ($469), higher than 27% 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: 7 payers, 32 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 | MultiPlan group health professional · percent of total billed charges · bothfrom % of charges | $145.80 | $145.80 | $145.80 – $145.80 |
| 2 | UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both | $149.26 | $149.26 | $149.26 – $149.26 |
| 3 | Humana tricare facility · fee schedule · outpatient | $169.12 | $169.12 | $169.12 – $169.12 |
| 4 | Blue Cross Blue Shield essential plans/non-aliessa managed medicaid professional · fee schedule · both | $191.91 | $191.91 | $191.91 – $191.91 |
| 5 | Blue Cross Blue Shield managed medicaid aliessa professional · fee schedule · both | $191.91 | $191.91 | $191.91 – $191.91 |
| 6 | Humana tricare professional · fee schedule · both | $202.57 | $202.57 | $202.57 – $202.57 |
| 7 | Aetna medicare advantage professional · fee schedule · both | $213.23 | $213.23 | $213.23 – $213.23 |
| 8 | Blue Cross Blue Shield medicare advantage professional · fee schedule · both | $213.23 | $213.23 | $213.23 – $213.23 |
| 9 | Excellus medicare advantage professional · fee schedule · both | $213.23 | $213.23 | $213.23 – $213.23 |
| 10 | UnitedHealthcare medicare advantage professional · fee schedule · both | $213.23 | $213.23 | $213.23 – $213.23 |
| 11 | Excellus managed medicaid/essential plans professional · fee schedule · both | $241.70 | $241.70 | $241.70 – $241.70 |
| 12 | Highmark ind/fep/ppo/hmo professional · fee schedule · both | $255.63 | $255.63 | $255.63 – $255.63 |
| 13 | Blue Cross Blue Shield blue access professional · fee schedule · both | $257.53 | $257.53 | $257.53 – $257.53 |
| 14 | Blue Cross Blue Shield hmo/pos/epo/ppo/ind professional · fee schedule · both | $257.53 | $257.53 | $257.53 – $257.53 |
| 15 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $258.05 | $258.05 | $237.12 – $278.97 |
| 16 | Excellus commercial professional · fee schedule · both | $327.29 | $327.29 | $327.29 – $327.29 |
| 17 | Blue Cross Blue Shield individual network professional · fee schedule · both | $341.17 | $341.17 | $341.17 – $341.17 |
| 18 | Aetna commercial professional · fee schedule · both | $346.09 | $346.09 | $346.09 – $346.09 |
| 19 | UnitedHealthcare commercial professional · fee schedule · both | $539.86 | $539.86 | $539.86 – $539.86 |
| 20 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1,450 | $1,450 | $1,450 – $1,450 |
| 21 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1,450 | $1,450 | $1,450 – $1,450 |
| 22 | Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1,450 | $1,450 | $1,450 – $1,450 |
| 23 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1,450 | $1,450 | $1,450 – $1,450 |
| 24 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $1,526 | $1,526 | $1,526 – $1,526 |
| 25 | Blue Cross Blue Shield blue access facility · percent of total billed charges · outpatientfrom % of charges | $2,251 | $2,251 | $2,251 – $2,251 |
Last updated: Apr 28, 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.