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
Burnsville, MN
See all hospitals reporting CPT 72193 →Price type
Fairview Health Services’s median price of $216 is 54% below the median hospital's median price ($469), higher than 18% 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, 56 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 managed medicaid/accessability fee schedule · both | $137.79 | $118.69 | $40.12 – $178.16 |
| 3 | Bcbs Mn pmap 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 non-snp 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/medicare advantage snp fee schedule · both | $188.20 | $162.75 | $55.92 – $244.12 |
| 11 | Sanford Health Plan medicare advantage fee schedule · outpatient | $173.17 | $173.17 | $173.17 – $173.17 |
| 12 | UnitedHealthcare medicare advantage fee schedule · outpatient | $173.17 | $173.17 | $173.17 – $173.17 |
| 13 | WellCare medicare advantage fee schedule · outpatient | $173.17 | $173.17 | $173.17 – $173.17 |
| 14 | Ucare medicare advantage/msho fee schedule · outpatient | $175.77 | $175.77 | $175.77 – $175.77 |
| 15 | Medica medicare advantage non-snp other · inpatient | $175.99 | $175.99 | $175.99 – $175.99 |
| 16 | UnitedHealthcare medicare advantage other · inpatient | $175.99 | $175.99 | $175.99 – $175.99 |
| 17 | Ucare pmap other · inpatient | $177.10 | $177.10 | $177.10 – $177.10 |
| 18 | Ucare medicare advantage/msho other · inpatient | $178.63 | $178.63 | $178.63 – $178.63 |
| 19 | WellCare medicare advantage other · inpatient | $180.08 | $180.08 | $180.08 – $180.08 |
| 20 | Bcbs Mn medicare advantage fee schedule · outpatient | $180.10 | $180.10 | $180.10 – $180.10 |
| 21 | Ucare pmap fee schedule · outpatient | $181.69 | $181.69 | $181.69 – $181.69 |
| 22 | Medica medicare advantage non-snp fee schedule · outpatient | $183.56 | $183.56 | $183.56 – $183.56 |
| 23 | Bcbs Mn pmap fee schedule · outpatient | $202.87 | $202.87 | $202.87 – $202.87 |
| 24 | UnitedHealthcare commercial other · inpatient | $230.05 | $230.05 | $230.05 – $230.05 |
| 25 | Ucare individual and family with m health fairview fee schedule · outpatient | $307.90 | $307.90 | $307.90 – $307.90 |
Last updated: Feb 6, 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.