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
PC CT PELVIS W/DYE
Corvallis, OR
See all hospitals reporting CPT 72193 →Price type
Good Samaritan Hospital Corvallis’s median price of $103 is 78% below the median hospital's median price ($469), higher than 1% 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: 5 payers, 38 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Devoted medicare advantage - midlevel - fac professional · fee schedule · outpatient | $51.54 | $51.54 | $51.54 – $51.54 |
| 2 | Devoted medicare advantage - midlevel - nonfac professional · fee schedule · outpatient | $51.54 | $51.54 | $51.54 – $51.54 |
| 3 | Humana medicare advantage - midlevel - fac professional · fee schedule · outpatient | $51.54 | $51.54 | $51.54 – $51.54 |
| 4 | Humana medicare advantage - midlevel - nonfac professional · fee schedule · outpatient | $51.54 | $51.54 | $51.54 – $51.54 |
| 5 | Regence medicare adv - midlevel lcsw professional · fee schedule · outpatient | $59.19 | $59.19 | $59.19 – $59.19 |
| 6 | Regence medicare adv - midlevel lcsw nonfac professional · fee schedule · outpatient | $59.19 | $59.19 | $59.19 – $59.19 |
| 7 | Devoted medicare advantage-fac professional · fee schedule · outpatient | $59.75 | $59.75 | $59.75 – $59.75 |
| 8 | Devoted medicare advantage-nonfac professional · fee schedule · outpatient | $59.75 | $59.75 | $59.75 – $59.75 |
| 9 | Humana medicare advantage - fac professional · fee schedule · outpatient | $60.63 | $60.63 | $60.63 – $60.63 |
| 10 | Humana medicare advantage - nonfac professional · fee schedule · outpatient | $60.63 | $60.63 | $60.63 – $60.63 |
| 11 | Regence bh - masters level counselors fac professional · fee schedule · outpatient | $63.14 | $63.14 | $63.14 – $63.14 |
| 12 | Regence bh - masters level counselors nonfac professional · fee schedule · outpatient | $63.14 | $63.14 | $63.14 – $63.14 |
| 13 | Regence midlevel dc- nd-pharm-lacu-lmt-llc fac professional · fee schedule · outpatient | $65.23 | $65.23 | $65.23 – $65.23 |
| 14 | Regence midlevel dc-nd-pharm-lacu-lmt-llc nonfac professional · fee schedule · outpatient | $65.23 | $65.23 | $65.23 – $65.23 |
| 15 | Cigna facility professional · fee schedule · outpatient | $80.34 | $80.34 | $53.56 – $107.11 |
| 16 | Cigna nonfacility professional · fee schedule · outpatient | $80.34 | $80.34 | $53.56 – $107.11 |
| 17 | Aetna fac - midlevel lcsw/lpc/rdn professional · fee schedule · outpatient | $92.95 | $92.95 | $92.95 – $92.95 |
| 18 | Aetna nonfac - midlevel lcsw/lpc/rdn professional · fee schedule · outpatient | $92.95 | $92.95 | $92.95 – $92.95 |
| 19 | Aetna fac - midlevel np-pa-cnm professional · fee schedule · outpatient | $105.34 | $105.34 | $105.34 – $105.34 |
| 20 | Aetna fac - optometrists - pyschologists- pt-st-ot professional · fee schedule · outpatient | $105.34 | $105.34 | $105.34 – $105.34 |
| 21 | Aetna nonfac - midlevel np-pa-cnm professional · fee schedule · outpatient | $105.34 | $105.34 | $105.34 – $105.34 |
| 22 | Aetna nonfac - optometrists - pyschologists- pt-st-ot professional · fee schedule · outpatient | $105.34 | $105.34 | $105.34 – $105.34 |
| 23 | Aetna fac - md-do professional · fee schedule · outpatient | $123.93 | $123.93 | $123.93 – $123.93 |
| 24 | Aetna fac - psychiatric np professional · fee schedule · outpatient | $123.93 | $123.93 | $123.93 – $123.93 |
| 25 | Aetna nonfac - md-do professional · fee schedule · outpatient | $123.93 | $123.93 | $123.93 – $123.93 |
Last updated: Jan 31, 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.