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
1027 Washington Ave. Detroit Lakes, MN
See all hospitals reporting CPT 72193 →Price type
Essentia Health St. Mary's - Detroit Lakes’s median price of $885 is 88% above the median hospital's median price ($469), higher than 68% 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, 27 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 medicaid facility · fee schedule · outpatient | $122.93 | $122.93 | $122.93 – $122.93 |
| 2 | Blue Cross Blue Shield medicare facility · case rate · outpatient | $187.11 | $187.11 | $187.11 – $187.11 |
| 3 | Healthpartners medicare facility · case rate · outpatient | $187.11 | $187.11 | $187.11 – $187.11 |
| 4 | Medica medicare facility · case rate · outpatient | $187.11 | $187.11 | $187.11 – $187.11 |
| 5 | Ucare medicare facility · case rate · outpatient | $187.11 | $187.11 | $187.11 – $187.11 |
| 6 | UnitedHealthcare medicare facility · case rate · outpatient | $187.11 | $187.11 | $187.11 – $187.11 |
| 7 | Blue Cross Blue Shield commercial facility · fee schedule · outpatient | $356.04 | $356.04 | $356.04 – $356.04 |
| 8 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $764.77 | $764.77 | $764.77 – $764.77 |
| 9 | Blue Cross Blue Shield bcbs mn facility · fee schedule · outpatient | $808.82 | $808.82 | $808.82 – $808.82 |
| 10 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · outpatientfrom % of charges | $884.70 | $884.70 | $884.70 – $884.70 |
| 11 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · outpatientfrom % of charges | $884.70 | $884.70 | $884.70 – $884.70 |
| 12 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,294 | $1,294 | $1,294 – $1,294 |
| 13 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,294 | $1,294 | $1,294 – $1,294 |
| 14 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges | $1,314 | $1,314 | $1,314 – $1,314 |
| 15 | Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges | $1,321 | $1,321 | $1,321 – $1,321 |
| 16 | Medica commercial-fi facility · percent of total billed charges · outpatientfrom % of charges | $1,372 | $1,372 | $1,372 – $1,372 |
| 17 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,411 | $1,411 | $1,250 – $1,571 |
| 18 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,443 | $1,443 | $1,443 – $1,443 |
| 19 | Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,443 | $1,443 | $1,443 – $1,443 |
| 20 | Medica commercial-si facility · percent of total billed charges · outpatientfrom % of charges | $1,449 | $1,449 | $1,449 – $1,449 |
| 21 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges | $1,460 | $1,460 | $1,460 – $1,460 |
| 22 | Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,494 | $1,494 | $1,494 – $1,494 |
| 23 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,494 | $1,494 | $1,494 – $1,494 |
| 24 | Medica ifb aco facility · percent of total billed charges · outpatientfrom % of charges | $1,526 | $1,526 | $1,526 – $1,526 |
| 25 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,651 | $1,651 | $1,651 – $1,651 |
Last updated: Jan 1, 2026
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