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 PELVIS W/CONTRAST
Burley, ID
See all hospitals reporting CPT 72193 →Price type
IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital’s median price of $2.7k is 469% above the median hospital's median price ($469), higher than 94% 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, 45 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 adv hmo professional · fee schedule · outpatient | $110.58 | $110.58 | $54.25 – $166.90 |
| 2 | Aetna medicare adv ppo professional · fee schedule · outpatient | $110.58 | $110.58 | $54.25 – $166.90 |
| 3 | Bcbs Id medicare id true blue professional · fee schedule · outpatient | $110.58 | $110.58 | $54.25 – $166.90 |
| 4 | Humana medicare choice ppo professional · fee schedule · outpatient | $110.58 | $110.58 | $54.25 – $166.90 |
| 5 | Molina medicare choice care hmo professional · fee schedule · outpatient | $110.58 | $110.58 | $54.25 – $166.90 |
| 6 | Molina medicare complete care hmo snp professional · fee schedule · outpatient | $110.58 | $110.58 | $54.25 – $166.90 |
| 7 | Regence idaho ut svc professional · fee schedule · outpatient | $110.58 | $110.58 | $54.25 – $166.90 |
| 8 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $110.58 | $110.58 | $54.25 – $166.90 |
| 9 | Regence blue shield id facility · fee schedule · outpatient | $805.00 | $805.00 | $805.00 – $805.00 |
| 10 | UnitedHealthcare charter facility · fee schedule · outpatient | $805.00 | $805.00 | $805.00 – $805.00 |
| 11 | UnitedHealthcare non-options ppo facility · fee schedule · outpatient | $805.00 | $805.00 | $805.00 – $805.00 |
| 12 | Aetna medicare adv hmo facility · percent of total billed charges · outpatientfrom % of charges | $942.53 | $942.53 | $942.53 – $942.53 |
| 13 | Aetna medicare adv ppo facility · percent of total billed charges · outpatientfrom % of charges | $942.53 | $942.53 | $942.53 – $942.53 |
| 14 | Bcbs Id medicare id true blue facility · percent of total billed charges · outpatientfrom % of charges | $942.53 | $942.53 | $942.53 – $942.53 |
| 15 | Humana medicare choice ppo facility · percent of total billed charges · outpatientfrom % of charges | $942.53 | $942.53 | $942.53 – $942.53 |
| 16 | Molina medicare choice care hmo facility · percent of total billed charges · outpatientfrom % of charges | $942.53 | $942.53 | $942.53 – $942.53 |
| 17 | Molina medicare complete care hmo snp facility · percent of total billed charges · outpatientfrom % of charges | $942.53 | $942.53 | $942.53 – $942.53 |
| 18 | Regence idaho ut svc facility · percent of total billed charges · outpatientfrom % of charges | $942.53 | $942.53 | $942.53 – $942.53 |
| 19 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $942.53 | $942.53 | $942.53 – $942.53 |
| 20 | Bcbs Id exchange facility · fee schedule · outpatient | $1,353 | $1,353 | $1,353 – $1,353 |
| 21 | Bcbs Id traditional/ppo facility · fee schedule · outpatient | $1,511 | $1,511 | $1,511 – $1,511 |
| 22 | Bcbs Id exchange facility · percent of total billed charges · inpatientfrom % of charges | $2,388 | $2,388 | $2,388 – $2,388 |
| 23 | Bcbs Id traditional/ppo facility · percent of total billed charges · inpatientfrom % of charges | $2,513 | $2,513 | $2,513 – $2,513 |
| 24 | Bcbs Id exchange facility · percent of total billed charges · outpatientfrom % of charges | $2,835 | $2,835 | $2,835 – $2,835 |
| 25 | Regence blue shield id facility · percent of total billed charges · inpatientfrom % of charges | $2,859 | $2,859 | $2,859 – $2,859 |
Last updated: Aug 5, 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.