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
HC CT, PELVIS, WITH CONTRAST
Milwaukee, WI
See all hospitals reporting CPT 72193 →Price type
Froedtert Memorial Lutheran Hospital Inc’s median price of $1.1k is 133% above the median hospital's median price ($469), higher than 74% 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: 9 payers, 31 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 | UnitedHealthcare managed medicaid other · inpatient | $156.20 | $156.20 | $156.20 – $156.20 |
| 2 | UnitedHealthcare managed medicaid other · outpatient | $156.20 | $156.20 | $156.20 – $156.20 |
| 3 | Anthem managed medicaid other · inpatient | $166.05 | $166.05 | $166.05 – $166.05 |
| 4 | Anthem managed medicaid other · outpatient | $166.05 | $166.05 | $166.05 – $166.05 |
| 5 | Molina managed medicaid other · inpatient | $171.03 | $171.03 | $171.03 – $171.03 |
| 6 | Molina managed medicaid other · outpatient | $171.03 | $171.03 | $171.03 – $171.03 |
| 7 | Humana medicare advantage other · inpatient | $175.70 | $175.70 | $175.70 – $175.70 |
| 8 | Anthem medicare advantage case rate · outpatient | $180.90 | $180.90 | $180.90 – $180.90 |
| 9 | Anthem medicare advantage other · inpatient | $180.90 | $180.90 | $180.90 – $180.90 |
| 10 | Humana medicare advantage case rate · outpatient | $180.90 | $180.90 | $180.90 – $180.90 |
| 11 | Molina medicare advantage case rate · outpatient | $180.90 | $180.90 | $180.90 – $180.90 |
| 12 | UnitedHealthcare medicare advantage/dual case rate · outpatient | $180.90 | $180.90 | $180.90 – $180.90 |
| 13 | UnitedHealthcare medicare advantage/dual other · inpatient | $180.90 | $180.90 | $180.90 – $180.90 |
| 14 | Aetna medicare advantage case rate · outpatient | $184.52 | $184.52 | $184.52 – $184.52 |
| 15 | WellCare medicare advantage case rate · outpatient | $184.52 | $184.52 | $184.52 – $184.52 |
| 16 | UnitedHealthcare choice plus/navigate other · inpatient | $836.05 | $836.05 | $836.05 – $836.05 |
| 17 | UnitedHealthcare nexus fee schedule · outpatient | $1,112 | $1,112 | $1,112 – $1,112 |
| 18 | UnitedHealthcare options ppo other · inpatient | $1,112 | $1,112 | $1,112 – $1,112 |
| 19 | UnitedHealthcare choice plus/navigate fee schedule · outpatient | $1,351 | $1,351 | $1,351 – $1,351 |
| 20 | Anthem blue preferred/pos other · inpatient | $1,383 | $1,383 | $1,383 – $1,383 |
| 21 | Anthem blue preferred/pos fee schedule · outpatient | $1,466 | $1,466 | $1,466 – $1,466 |
| 22 | UnitedHealthcare options ppo fee schedule · outpatient | $1,621 | $1,621 | $1,621 – $1,621 |
| 23 | Aetna all contracted commercial plans percent of total billed charges · inpatientfrom % of charges | $2,076 | $2,076 | $1,977 – $2,176 |
| 24 | Aetna all contracted commercial plans percent of total billed charges · outpatientfrom % of charges | $2,076 | $2,076 | $1,977 – $2,176 |
| 25 | Anthem federal/out of state/ppo other · inpatient | $2,417 | $2,417 | $2,417 – $2,417 |
Last updated: Dec 31, 2025
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