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/Cntrst
Great Barrington, MA
See all hospitals reporting CPT 72193 →Price type
Fairview Hospital’s median price of $1.1k is 141% above the median hospital's median price ($469), higher than 75% 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, 39 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 | Aetna comm aetna professional · fee schedule · outpatient | $178.77 | $178.77 | $178.77 – $178.77 |
| 2 | Medicaid mcd masshealth professional · fee schedule · outpatient | $183.21 | $183.21 | $183.21 – $183.21 |
| 3 | Medicaid mcdmanaged medicaid acos professional · fee schedule · outpatient | $183.21 | $183.21 | $183.21 – $183.21 |
| 4 | Medicare mcr traditional medicare professional · fee schedule · outpatient | $231.82 | $231.82 | $231.82 – $231.82 |
| 5 | Medicare mcrmanaged medicare hmo professional · fee schedule · outpatient | $231.82 | $231.82 | $231.82 – $231.82 |
| 6 | UnitedHealthcare mcrmanaged united vaccn professional · fee schedule · outpatient | $235.59 | $235.59 | $235.59 – $235.59 |
| 7 | Blue Cross Blue Shield mcrmanaged blue cross vt medicare hmo professional · fee schedule · outpatient | $266.59 | $266.59 | $266.59 – $266.59 |
| 8 | Medicaid mcd masshealth facility · fee schedule · outpatient | $385.70 | $385.70 | $385.70 – $385.70 |
| 9 | Medicaid mcdmanaged medicaid acos facility · fee schedule · outpatient | $385.70 | $385.70 | $385.70 – $385.70 |
| 10 | Blue Cross Blue Shield mcrmanaged blue cross vt medicare hmo facility · fee schedule · outpatient | $766.39 | $766.39 | $634.62 – $898.15 |
| 11 | Medicare mcr traditional medicare facility · fee schedule · outpatient | $766.39 | $766.39 | $634.62 – $898.15 |
| 12 | Medicare mcrmanaged medicare hmo facility · fee schedule · outpatient | $766.39 | $766.39 | $634.62 – $898.15 |
| 13 | UnitedHealthcare mcrmanaged united vaccn facility · fee schedule · outpatient | $778.85 | $778.85 | $644.94 – $912.75 |
| 14 | Blue Cross Blue Shield comm blue cross ma hmo facility · percent of total billed charges · outpatientfrom % of charges | $1,214 | $1,214 | $1,005 – $1,422 |
| 15 | Blue Cross Blue Shield comm blue cross ma indem facility · percent of total billed charges · outpatientfrom % of charges | $1,354 | $1,354 | $1,121 – $1,587 |
| 16 | Blue Cross Blue Shield comm blue cross ma ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,362 | $1,362 | $1,127 – $1,596 |
| 17 | UnitedHealthcare comm united bh facility · percent of total billed charges · outpatientfrom % of charges | $1,368 | $1,368 | $1,133 – $1,603 |
| 18 | UnitedHealthcare comm united bh professional · fee schedule · outpatient | $1,368 | $1,368 | $1,133 – $1,603 |
| 19 | Blue Cross Blue Shield comm blue cross vt ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,516 | $1,516 | $1,255 – $1,776 |
| 20 | Aetna comm aetna facility · other · outpatient | $1,558 | $1,558 | $1,290 – $1,826 |
| 21 | UnitedHealthcare comm united bh facility · percent of total billed charges · inpatientfrom % of charges | $1,603 | $1,603 | $1,603 – $1,603 |
| 22 | Blue Cross Blue Shield comm blue cross vt ppo facility · percent of total billed charges · inpatientfrom % of charges | $1,776 | $1,776 | $1,776 – $1,776 |
| 23 | Blue Cross Blue Shield comm blue cross vt ppo professional · fee schedule · outpatient | $1,789 | $1,789 | $1,482 – $2,097 |
| 24 | UnitedHealthcare comm unitedhealthcare facility · percent of total billed charges · outpatientfrom % of charges | $1,810 | $1,810 | $1,499 – $2,122 |
| 25 | UnitedHealthcare comm unitedhealthcare professional · fee schedule · outpatient | $1,810 | $1,810 | $1,499 – $2,122 |
Last updated: Oct 7, 2026
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