CT scan of pelvis with contrast dye at Hmh Hospitals Corporation

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CT PELVIS W/CONTRAST MATERIAL

Hackensack, NJ

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How this price compares nationally

Hmh Hospitals Corporation’s median price of $620 is 32% above the median hospital's median price ($469), higher than 58% of the 2,597 hospitals reporting CPT 72193. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72193 at Hmh Hospitals Corporation

Negotiated rates from the hospital’s own file: 8 payers, 16 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	Optum managed medicaid facility · fee schedule · outpatient	$167.72	$167.72	$167.72 – $167.72
2	Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient	$209.65	$209.65	$209.65 – $209.65
3	Optum medicare advantage facility · fee schedule · outpatient	$209.65	$209.65	$209.65 – $209.65
4	WellCare managed medicaid facility · fee schedule · outpatient	$209.65	$209.65	$209.65 – $209.65
5	WellCare medicare advantage facility · fee schedule · outpatient	$209.65	$209.65	$209.65 – $209.65
6	Aetna medicare advantage facility · fee schedule · outpatient	$212.47	$212.47	$212.47 – $212.47
7	Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$475.20	$475.20	$475.20 – $475.20
8	Cigna hmo facility · fee schedule · outpatient	$529.60	$529.60	$529.60 – $529.60
9	Cigna ppo facility · fee schedule · outpatient	$529.60	$529.60	$529.60 – $529.60
10	UnitedHealthcare hmo facility · fee schedule · outpatient	$552.17	$552.17	$552.17 – $552.17
11	Aetna asa facility · fee schedule · outpatient	$579.60	$579.60	$579.60 – $579.60
12	Aetna hmo facility · fee schedule · outpatient	$579.60	$579.60	$579.60 – $579.60
13	Aetna ppo facility · fee schedule · outpatient	$579.60	$579.60	$579.60 – $579.60
14	Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$662.64	$662.64	$662.64 – $662.64
15	Cigna bh facility · percent of total billed charges · outpatientfrom % of charges	$2,112	$2,112	$2,112 – $2,112
16	MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges	$2,244	$2,244	$2,244 – $2,244

Last updated: Dec 31, 2025

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