CT scan of pelvis with contrast dye at Holyoke Medical Center

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/Dye

Holyoke, MA

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Pricing by billing methodology

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How this price compares nationally

Holyoke Medical Center’s median price of $217 is 54% below the median hospital's median price ($469), higher than 18% 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 Holyoke Medical Center

Negotiated rates from the hospital’s own file: 7 payers, 19 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 open access aetna select 8480 net 01539 professional · fee schedule · both	$42.97	$42.97	$42.97 – $42.97
2	Blue Cross Blue Shield all plans professional · fee schedule · both	$55.52	$59.43	$53.00 – $69.78
3	Aetna aetna medicare advantage facility · fee schedule · outpatient	$206.85	$206.85	$206.85 – $206.85
4	Blue Cross Blue Shield blue cross blue shield medicare advantage facility · fee schedule · outpatient	$206.85	$206.85	$206.85 – $206.85
5	Medicare medicare facility · fee schedule · outpatient	$206.85	$206.85	$206.85 – $206.85
6	UnitedHealthcare uhc medicare advantage facility · fee schedule · outpatient	$206.85	$206.85	$206.85 – $206.85
7	Medicaid medicaid facility · fee schedule · outpatient	$211.16	$211.16	$211.16 – $211.16
8	UnitedHealthcare uhc evercare (sco) facility · fee schedule · outpatient	$217.19	$217.19	$217.19 – $217.19
9	Aetna aetna commercial facility · other · outpatient	$235.59	$235.59	$235.59 – $235.59
10	UnitedHealthcare uhc harvard pilgrim facility · other · outpatient	$306.64	$306.64	$306.64 – $306.64
11	Cigna cigna commercial facility · fee schedule · outpatient	$317.43	$317.43	$317.43 – $317.43
12	Blue Cross Blue Shield blue cross blue shield hmo facility · fee schedule · outpatient	$391.04	$391.04	$391.04 – $391.04
13	Blue Cross Blue Shield blue cross blue shield indemnity facility · fee schedule · outpatient	$391.04	$391.04	$391.04 – $391.04
14	Blue Cross Blue Shield blue cross blue shield ppo facility · fee schedule · outpatient	$391.04	$391.04	$391.04 – $391.04
15	Cigna evernorth bh facility · percent of total billed charges · inpatientfrom % of charges	$889.70	$889.70	$889.70 – $889.70
16	Magellan magellan mass facility · percent of total billed charges · inpatientfrom % of charges	$889.70	$889.70	$889.70 – $889.70
17	Magellan magellan swh facility · percent of total billed charges · inpatientfrom % of charges	$889.70	$889.70	$889.70 – $889.70
18	Cigna cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$934.18	$934.18	$934.18 – $934.18
19	UnitedHealthcare uhc commercial facility · other · outpatient	$1,666	$1,666	$1,666 – $1,666

Last updated: May 1, 2026

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