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/ Contrast
Lancaster, OH
See all hospitals reporting CPT 72193 →Price type
Fairfield Medical Center’s median price of $918 is 96% above the median hospital's median price ($469), higher than 69% 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: 11 payers, 37 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 | Oscar oscar exchange facility · other · outpatient | $219.87 | $219.87 | $219.87 – $219.87 |
| 2 | Molina molina managed medicaid facility · fee schedule · outpatient | $364.91 | $364.91 | $364.91 – $364.91 |
| 3 | UnitedHealthcare united healthcare medicaid facility · fee schedule · outpatient | $364.91 | $364.91 | $364.91 – $364.91 |
| 4 | Caresource caresource medicaid facility · fee schedule · outpatient | $368.56 | $368.56 | $368.56 – $368.56 |
| 5 | Anthem anthem community plan facility · fee schedule · outpatient | $375.86 | $375.86 | $375.86 – $375.86 |
| 6 | Humana humana medicaid managed care plan facility · fee schedule · outpatient | $379.51 | $379.51 | $379.51 – $379.51 |
| 7 | Amerihealth Caritas amerihealth caritas ohio facility · fee schedule · outpatient | $383.16 | $383.16 | $383.16 – $383.16 |
| 8 | Medical Mutual medical mutual ohio health hmo facility · percent of total billed charges · inpatientfrom % of charges | $797.85 | $797.85 | $797.85 – $797.85 |
| 9 | Medical Mutual medical mutual ohio health hmo facility · percent of total billed charges · outpatientfrom % of charges | $797.85 | $797.85 | $797.85 – $797.85 |
| 10 | Aetna aetna - commercial facility · case rate · outpatient | $850.00 | $850.00 | $850.00 – $850.00 |
| 11 | Aetna aetna - commercial facility · percent of total billed charges · outpatientfrom % of charges | $850.00 | $850.00 | $850.00 – $850.00 |
| 12 | Anthem anthem - pathway x/ppo/hmo (on exchange) facility · percent of total billed charges · inpatientfrom % of charges | $918.41 | $918.41 | $918.41 – $918.41 |
| 13 | Anthem anthem ba oh i and ii - pathways ppo hmo facility · percent of total billed charges · inpatientfrom % of charges | $918.41 | $918.41 | $918.41 – $918.41 |
| 14 | Anthem anthem - blue traditional/blue access/blue preferred facility · percent of total billed charges · inpatientfrom % of charges | $987.56 | $987.56 | $987.56 – $987.56 |
| 15 | Aetna aetna - commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,163 | $1,163 | $1,163 – $1,163 |
| 16 | Medical Mutual medical mutual commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,188 | $1,188 | $1,188 – $1,188 |
| 17 | UnitedHealthcare united healthcare commercial facility · per diem · outpatient | $1,212 | $1,212 | $1,212 – $1,212 |
| 18 | Cigna cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,461 | $1,461 | $1,461 – $1,461 |
| 19 | Humana humana - commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,684 | $1,684 | $1,684 – $1,684 |
| 20 | Humana humana - commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,684 | $1,684 | $1,684 – $1,684 |
| 21 | MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges | $1,684 | $1,684 | $1,684 – $1,684 |
| 22 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $1,684 | $1,684 | $1,684 – $1,684 |
| 23 | Humana tricare - humana military facility · fee schedule · outpatient | $152.22 | $1,848 | $152.22 – $5,239 |
| 24 | Aetna aetna - medicare facility · fee schedule · outpatient | $166.42 | $2,103 | $166.42 – $5,975 |
| 25 | Anthem anthem - medicare facility · fee schedule · outpatient | $166.42 | $2,103 | $166.42 – $5,975 |
Last updated: Feb 26, 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.