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
Grand Rapids, MN
See all hospitals reporting CPT 72193 →Price type
Grand Itasca Clinic and Hospital’s median price of $201 is 57% below the median hospital's median price ($469), higher than 14% 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, 47 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 pmap professional · fee schedule · both | $111.14 | $111.14 | $41.45 – $180.83 |
| 2 | Medica accessability professional · fee schedule · both | $137.79 | $118.69 | $40.12 – $178.16 |
| 3 | Medica managed medicaid professional · fee schedule · both | $137.79 | $118.69 | $40.12 – $178.16 |
| 4 | Medica medicare advantage non-snp professional · fee schedule · both | $137.79 | $118.69 | $40.12 – $178.16 |
| 5 | Bcbs Mn pmap professional · fee schedule · both | $147.44 | $127.00 | $42.93 – $190.63 |
| 6 | Sanford Health Plan commercial professional · percent of total billed charges · bothfrom % of charges | $139.00 | $139.00 | $139.00 – $139.00 |
| 7 | Medica msho-dual/medicare advantage snp professional · fee schedule · both | $171.47 | $148.38 | $51.10 – $222.57 |
| 8 | Sanford Health Plan medicare advantage professional · fee schedule · both | $171.47 | $148.38 | $51.10 – $222.57 |
| 9 | UnitedHealthcare medicare advantage professional · fee schedule · both | $171.47 | $148.38 | $51.10 – $222.57 |
| 10 | WellCare medicare advantage professional · fee schedule · both | $171.47 | $148.38 | $51.10 – $222.57 |
| 11 | Bcbs Mn medicare advantage professional · fee schedule · both | $178.33 | $154.31 | $53.14 – $231.47 |
| 12 | Ucare medicare advantage/msho professional · fee schedule · both | $180.04 | $155.80 | $53.66 – $233.70 |
| 13 | Ucare pmap facility · other · inpatient | $161.18 | $161.18 | $161.18 – $161.18 |
| 14 | Sanford Health Plan medicare advantage facility · fee schedule · outpatient | $179.14 | $179.14 | $179.14 – $179.14 |
| 15 | Ucare medicare advantage/msho facility · fee schedule · outpatient | $179.14 | $179.14 | $179.14 – $179.14 |
| 16 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $179.14 | $179.14 | $179.14 – $179.14 |
| 17 | WellCare medicare advantage facility · fee schedule · outpatient | $179.14 | $179.14 | $179.14 – $179.14 |
| 18 | Bcbs Mn pmap facility · fee schedule · outpatient | $181.84 | $181.84 | $181.84 – $181.84 |
| 19 | Bcbs Mn medicare advantage facility · fee schedule · outpatient | $186.31 | $186.31 | $186.31 – $186.31 |
| 20 | Ucare individual and family plans facility · other · inpatient | $187.11 | $187.11 | $187.11 – $187.11 |
| 21 | Medica medicare advantage non-snp facility · fee schedule · outpatient | $189.89 | $189.89 | $189.89 – $189.89 |
| 22 | Ucare pmap facility · fee schedule · outpatient | $192.58 | $192.58 | $192.58 – $192.58 |
| 23 | First Health commercial professional · percent of total billed charges · bothfrom % of charges | $193.52 | $193.52 | $193.52 – $193.52 |
| 24 | MultiPlan commercial professional · percent of total billed charges · bothfrom % of charges | $200.60 | $200.60 | $200.60 – $200.60 |
| 25 | Ucare medicare advantage/msho facility · other · inpatient | $217.56 | $217.56 | $217.56 – $217.56 |
Last updated: Jan 28, 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.