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/CONTRAST
NAVARRE, FL
See all hospitals reporting CPT 72193 →Price type
Hca Florida Fort Walton-destin Hospital’s median price of $10.8k is 2209% above the median hospital's median price ($469), higher than 100% 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, 11 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 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $401.74 | $401.74 | $401.74 – $401.74 |
| 2 | Aetna qhp other · outpatient | $1,696 | $1,696 | $1,696 – $1,696 |
| 3 | Aetna hmo other · outpatient | $2,543 | $2,543 | $2,543 – $2,543 |
| 4 | Aetna ppo other · outpatient | $2,543 | $2,543 | $2,543 – $2,543 |
| 5 | Molina mgmcr percent of total billed charges · outpatientfrom % of charges | $4,120 | $3,995 | $3,745 – $4,120 |
| 6 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $4,467 | $4,331 | $4,061 – $4,467 |
| 7 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $6,505 | $6,308 | $5,914 – $6,505 |
| 8 | Molina hix percent of total billed charges · outpatientfrom % of charges | $6,939 | $6,729 | $6,308 – $6,939 |
| 9 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $9,758 | $9,462 | $8,870 – $9,758 |
| 10 | MultiPlan primary percent of total billed charges · outpatientfrom % of charges | $16,913 | $16,401 | $15,375 – $16,914 |
| 11 | MultiPlan complementary percent of total billed charges · outpatientfrom % of charges | $18,431 | $17,873 | $16,755 – $18,431 |
Last updated: Mar 1, 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.