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
St. Paul, MN
See all hospitals reporting CPT 72193 →Price type
Fairview Bethesda Hospital’s median price of $244 is 48% below the median hospital's median price ($469), higher than 24% 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, 61 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 | Ucare pmap fee schedule · both | $129.12 | $111.68 | $38.40 – $167.53 |
| 2 | Medica minnesota care/accessability/choice care government fee schedule · both | $137.79 | $118.69 | $40.12 – $178.16 |
| 3 | Bcbs Mn managed medicaid fee schedule · both | $147.44 | $127.00 | $42.93 – $190.63 |
| 4 | Sanford Health Plan medicare advantage fee schedule · both | $171.47 | $148.38 | $51.10 – $222.57 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $171.47 | $148.38 | $51.10 – $222.57 |
| 6 | WellCare medicare advantage fee schedule · both | $171.47 | $148.38 | $51.10 – $222.57 |
| 7 | Bcbs Mn medicare advantage fee schedule · both | $178.33 | $154.31 | $53.14 – $231.47 |
| 8 | Medica medicare advantage fee schedule · both | $184.72 | $159.74 | $54.89 – $239.60 |
| 9 | Ucare medicare advantage/msho fee schedule · both | $185.19 | $160.25 | $55.19 – $240.38 |
| 10 | Medica msho fee schedule · both | $188.20 | $162.75 | $55.92 – $244.12 |
| 11 | Sanford Health Plan medicare advantage fee schedule · outpatient | $177.20 | $177.20 | $177.20 – $177.20 |
| 12 | UnitedHealthcare medicare advantage fee schedule · outpatient | $177.20 | $177.20 | $177.20 – $177.20 |
| 13 | WellCare medicare advantage fee schedule · outpatient | $177.20 | $177.20 | $177.20 – $177.20 |
| 14 | Ucare medicare advantage/msho fee schedule · outpatient | $179.86 | $179.86 | $179.86 – $179.86 |
| 15 | Ucare pmap fee schedule · outpatient | $181.69 | $181.69 | $181.69 – $181.69 |
| 16 | Bcbs Mn medicare advantage fee schedule · outpatient | $184.29 | $184.29 | $184.29 – $184.29 |
| 17 | Medica medicare advantage fee schedule · outpatient | $187.83 | $187.83 | $187.83 – $187.83 |
| 18 | Ucare individual and family with m health fairview fee schedule · outpatient | $311.69 | $311.69 | $311.69 – $311.69 |
| 19 | Ucare individual and family with m health fairview fee schedule · both | $452.51 | $391.57 | $134.85 – $587.36 |
| 20 | Ucare individual and family fee schedule · outpatient | $407.21 | $407.21 | $407.21 – $407.21 |
| 21 | Ucare individual and family fee schedule · both | $476.69 | $412.50 | $142.06 – $618.74 |
| 22 | Bcbs Mn managed medicaid percent of total billed charges · inpatientfrom % of charges | $433.46 | $433.46 | $433.46 – $433.46 |
| 23 | Medica bold fee schedule · both | $515.39 | $442.70 | $148.66 – $664.06 |
| 24 | Bcbs Mn managed medicaid percent of total billed charges · outpatientfrom % of charges | $446.59 | $446.59 | $446.59 – $446.59 |
| 25 | Medica vantage si fee schedule · both | $558.34 | $479.59 | $161.05 – $719.39 |
Last updated: Jan 29, 2026
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