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
PAUL, MN
See all hospitals reporting CPT 72193 →Price type
Gillette Children's Specialty Healthcare’s median price of $356 is 24% below the median hospital's median price ($469), higher than 38% 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: 7 payers, 24 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 managed medicaid professional · fee schedule · outpatient | $87.38 | $87.38 | $39.41 – $135.35 |
| 2 | Ucare managed medicaid facility · fee schedule · outpatient | $147.17 | $147.17 | $147.17 – $147.17 |
| 3 | UnitedHealthcare commercial professional · fee schedule · outpatient | $180.35 | $180.35 | $91.21 – $269.48 |
| 4 | Aetna managed medicare facility · case rate · outpatient | $185.11 | $185.11 | $185.11 – $185.11 |
| 5 | Medica commercial professional · fee schedule · outpatient | $215.50 | $215.50 | $98.95 – $332.05 |
| 6 | Blue Cross Blue Shield managed medicaid professional · fee schedule · outpatient | $229.16 | $229.16 | $102.76 – $355.55 |
| 7 | Blue Cross Blue Shield commercial professional · fee schedule · outpatient | $231.74 | $231.74 | $107.16 – $356.31 |
| 8 | Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $1,022 | $1,022 | $1,022 – $1,022 |
| 9 | Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1,036 | $1,036 | $1,036 – $1,036 |
| 10 | Ucare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1,496 | $1,496 | $1,496 – $1,496 |
| 11 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,006 | $2,006 | $2,006 – $2,006 |
| 12 | Medica managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $2,109 | $2,109 | $2,109 – $2,109 |
| 13 | Medica managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $2,109 | $2,109 | $2,109 – $2,109 |
| 14 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,237 | $2,237 | $2,237 – $2,237 |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,237 | $2,237 | $2,237 – $2,237 |
| 16 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,244 | $2,244 | $2,244 – $2,244 |
| 17 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,244 | $2,244 | $2,244 – $2,244 |
| 18 | Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,638 | $2,638 | $2,638 – $2,638 |
| 19 | Medica commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,768 | $2,768 | $2,768 – $2,768 |
| 20 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,768 | $2,768 | $2,768 – $2,768 |
| 21 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,805 | $2,805 | $2,805 – $2,805 |
| 22 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,805 | $2,805 | $2,805 – $2,805 |
| 23 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $3,179 | $3,179 | $3,179 – $3,179 |
| 24 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $3,179 | $3,179 | $3,179 – $3,179 |
Last updated: Jan 1, 2026
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