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/DYE
201 9th St W Ada, MN
See all hospitals reporting CPT 72193 →Price type
Essentia Health Ada’s median price of $1.3k is 179% above the median hospital's median price ($469), higher than 80% 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, 39 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 | Healthpartners medicaid facility · percent of total billed charges · inpatientfrom % of charges | $773.72 | $773.72 | $773.72 – $773.72 |
| 2 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $773.72 | $773.72 | $773.72 – $773.72 |
| 3 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $791.62 | $791.62 | $791.62 – $791.62 |
| 4 | Sanford Health Plan commercial-ndpers facility · percent of total billed charges · inpatientfrom % of charges | $853.08 | $853.08 | $853.08 – $853.08 |
| 5 | Sanford Health Plan commercial-ndpers facility · percent of total billed charges · outpatientfrom % of charges | $853.08 | $853.08 | $853.08 – $853.08 |
| 6 | Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges | $898.03 | $898.03 | $898.03 – $898.03 |
| 7 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $898.03 | $898.03 | $898.03 – $898.03 |
| 8 | Blue Cross Blue Shield medicare facility · percent of total billed charges · outpatientfrom % of charges | $954.72 | $954.72 | $954.72 – $954.72 |
| 9 | Healthpartners medicare facility · percent of total billed charges · outpatientfrom % of charges | $954.72 | $954.72 | $954.72 – $954.72 |
| 10 | Medica medicare facility · percent of total billed charges · outpatientfrom % of charges | $954.72 | $954.72 | $954.72 – $954.72 |
| 11 | Ucare medicare facility · percent of total billed charges · outpatientfrom % of charges | $954.72 | $954.72 | $954.72 – $954.72 |
| 12 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $954.72 | $954.72 | $954.72 – $954.72 |
| 13 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges | $1,094 | $1,094 | $1,094 – $1,094 |
| 14 | Healthpartners shp facility · percent of total billed charges · inpatientfrom % of charges | $1,209 | $1,209 | $1,209 – $1,209 |
| 15 | Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges | $1,209 | $1,209 | $1,209 – $1,209 |
| 16 | Medica medicaid facility · percent of total billed charges · inpatientfrom % of charges | $1,239 | $1,239 | $1,239 – $1,239 |
| 17 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,309 | $1,309 | $1,309 – $1,309 |
| 18 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,309 | $1,309 | $1,309 – $1,309 |
| 19 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,323 | $1,323 | $1,323 – $1,323 |
| 20 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,323 | $1,323 | $1,323 – $1,323 |
| 21 | Healthpartners commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,323 | $1,323 | $1,323 – $1,323 |
| 22 | Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,323 | $1,323 | $1,323 – $1,323 |
| 23 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges | $1,392 | $1,392 | $1,392 – $1,392 |
| 24 | Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,392 | $1,392 | $1,392 – $1,392 |
| 25 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,399 | $1,399 | $1,064 – $1,734 |
Last updated: Jan 1, 2026
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