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
Brainerd, MN
See all hospitals reporting CPT 72193 →Price type
Essentia Health St. Joseph's Medical Center’s median price of $845 is 80% above the median hospital's median price ($469), higher than 67% 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, 25 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 | Blue Cross Blue Shield medicare facility · case rate · outpatient | $191.22 | $191.22 | $191.22 – $191.22 |
| 2 | Healthpartners medicare facility · case rate · outpatient | $191.22 | $191.22 | $191.22 – $191.22 |
| 3 | Medica medicare facility · case rate · outpatient | $191.22 | $191.22 | $191.22 – $191.22 |
| 4 | Ucare medicare facility · case rate · outpatient | $191.22 | $191.22 | $191.22 – $191.22 |
| 5 | UnitedHealthcare medicare facility · case rate · outpatient | $191.22 | $191.22 | $191.22 – $191.22 |
| 6 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $621.26 | $621.26 | $621.26 – $621.26 |
| 7 | Blue Cross Blue Shield bcbs mn facility · fee schedule · outpatient | $679.27 | $679.27 | $679.27 – $679.27 |
| 8 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges | $843.22 | $843.22 | $843.22 – $843.22 |
| 9 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · outpatientfrom % of charges | $843.22 | $843.22 | $843.22 – $843.22 |
| 10 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $845.38 | $845.38 | $845.38 – $845.38 |
| 11 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges | $884.70 | $884.70 | $884.70 – $884.70 |
| 12 | Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges | $887.65 | $887.65 | $887.65 – $887.65 |
| 13 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $887.65 | $887.65 | $887.65 – $887.65 |
| 14 | Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges | $1,250 | $1,250 | $1,250 – $1,250 |
| 15 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,294 | $1,294 | $1,294 – $1,294 |
| 16 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,294 | $1,294 | $1,294 – $1,294 |
| 17 | Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges | $1,319 | $1,319 | $1,319 – $1,319 |
| 18 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,341 | $1,341 | $1,250 – $1,431 |
| 19 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges | $1,376 | $1,376 | $1,376 – $1,376 |
| 20 | Medica ifb aco facility · percent of total billed charges · outpatientfrom % of charges | $1,390 | $1,390 | $1,390 – $1,390 |
| 21 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,445 | $1,445 | $1,445 – $1,445 |
| 22 | Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,445 | $1,445 | $1,445 – $1,445 |
| 23 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,496 | $1,496 | $1,496 – $1,496 |
| 24 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,671 | $1,671 | $1,671 – $1,671 |
| 25 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,671 | $1,671 | $1,671 – $1,671 |
Last updated: Jan 1, 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.