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
Teaneck, NJ
See all hospitals reporting CPT 72193 →Price type
Holy Name’s median price of $643 is 37% 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.
Negotiated rates from the hospital’s own file: 9 payers, 21 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 prime facility · fee schedule · outpatient | $188.68 | $188.68 | $188.68 – $188.68 |
| 2 | Aetna golden medicare facility · fee schedule · outpatient | $209.65 | $209.65 | $209.65 – $209.65 |
| 3 | Clover clover facility · fee schedule · outpatient | $209.65 | $209.65 | $209.65 – $209.65 |
| 4 | UnitedHealthcare medicare facility · fee schedule · outpatient | $209.65 | $209.65 | $209.65 – $209.65 |
| 5 | WellCare medicare facility · fee schedule · outpatient | $211.74 | $211.74 | $211.74 – $211.74 |
| 6 | UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges | $370.34 | $354.64 | $319.40 – $374.18 |
| 7 | Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges | $388.90 | $372.41 | $335.40 – $392.92 |
| 8 | Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges | $445.25 | $426.37 | $384.00 – $449.86 |
| 9 | Aetna whole health facility · fee schedule · outpatient | $519.74 | $519.74 | $519.74 – $519.74 |
| 10 | UnitedHealthcare uhc facility · other · outpatient | $543.00 | $543.00 | $543.00 – $543.00 |
| 11 | Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges | $579.75 | $555.17 | $500.00 – $585.75 |
| 12 | Cigna hmo/pos facility · fee schedule · outpatient | $609.03 | $609.03 | $609.03 – $609.03 |
| 13 | Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges | $781.50 | $748.36 | $674.00 – $789.59 |
| 14 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $1,108 | $1,061 | $956.00 – $1,120 |
| 15 | Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $1,415 | $1,355 | $1,220 – $1,429 |
| 16 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $1,507 | $1,443 | $1,300 – $1,523 |
| 17 | MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges | $1,971 | $1,888 | $1,700 – $1,992 |
| 18 | MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges | $2,087 | $1,999 | $1,800 – $2,109 |
| 19 | Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges | $2,150 | $2,059 | $1,854 – $2,172 |
| 20 | Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges | $2,150 | $2,059 | $1,854 – $2,172 |
| 21 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $2,150 | $2,059 | $1,854 – $2,172 |
Last updated: Nov 10, 2025
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