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 SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST
Falls, NY
See all hospitals reporting CPT 72193 →Price type
Glens Falls Hospital Inc’s median price of $458 is 2% below the median hospital's median price ($469), higher than 49% 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: 4 payers, 13 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 medicare advantage facility · fee schedule · outpatient | $160.49 | $143.74 | $57.96 – $212.77 |
| 2 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $311.85 | $311.85 | $305.73 – $317.96 |
| 3 | Blue Cross Blue Shield hmo_pos facility · fee schedule · outpatient | $457.85 | $414.68 | $164.17 – $622.02 |
| 4 | Blue Cross Blue Shield indemnity facility · fee schedule · outpatient | $457.85 | $414.68 | $164.17 – $622.02 |
| 5 | Blue Cross Blue Shield ppo facility · fee schedule · outpatient | $457.85 | $414.68 | $164.17 – $622.02 |
| 6 | Blue Cross Blue Shield managed medicaid facility · case rate · outpatient | $441.23 | $441.23 | $441.23 – $441.23 |
| 7 | Aetna commercial facility · fee schedule · outpatient | $452.92 | $452.92 | $452.92 – $452.92 |
| 8 | Blue Cross Blue Shield q-hip chp facility · percent of total billed charges · outpatientfrom % of charges | $769.86 | $769.86 | $769.86 – $769.86 |
| 9 | Blue Cross Blue Shield q-hip hmo_epo facility · percent of total billed charges · outpatientfrom % of charges | $769.86 | $769.86 | $769.86 – $769.86 |
| 10 | Blue Cross Blue Shield q-hip index facility · percent of total billed charges · outpatientfrom % of charges | $769.86 | $769.86 | $769.86 – $769.86 |
| 11 | Blue Cross Blue Shield q-hip ppo facility · percent of total billed charges · outpatientfrom % of charges | $794.30 | $794.30 | $794.30 – $794.30 |
| 12 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,039 | $1,039 | $1,039 – $1,039 |
| 13 | UnitedHealthcare all products facility · percent of total billed charges · outpatientfrom % of charges | $1,039 | $1,039 | $1,039 – $1,039 |
Last updated: Dec 31, 2025
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.