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
Heber City, UT
See all hospitals reporting CPT 72193 →Price type
IHC Health Services Inc., DBA Intermountain Health Heber Valley Hospital’s median price of $2.7k is 482% above the median hospital's median price ($469), higher than 95% 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: 6 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 standard facility · fee schedule · outpatient | $805.00 | $805.00 | $805.00 – $805.00 |
| 2 | Cigna hmo facility · fee schedule · outpatient | $805.00 | $805.00 | $805.00 – $805.00 |
| 3 | Cigna ppo/epo facility · fee schedule · outpatient | $805.00 | $805.00 | $805.00 – $805.00 |
| 4 | Regence blueoption facility · fee schedule · outpatient | $805.00 | $805.00 | $805.00 – $805.00 |
| 5 | UnitedHealthcare charter ut facility · fee schedule · outpatient | $805.00 | $805.00 | $805.00 – $805.00 |
| 6 | UnitedHealthcare non-options ppo facility · fee schedule · outpatient | $805.00 | $805.00 | $805.00 – $805.00 |
| 7 | UnitedHealthcare options ppo facility · fee schedule · outpatient | $805.00 | $805.00 | $805.00 – $805.00 |
| 8 | Aetna medicare adv hmo facility · percent of total billed charges · outpatientfrom % of charges | $942.53 | $942.53 | $942.53 – $942.53 |
| 9 | Aetna medicare adv ppo facility · percent of total billed charges · outpatientfrom % of charges | $942.53 | $942.53 | $942.53 – $942.53 |
| 10 | Humana medicare choice ppo facility · percent of total billed charges · outpatientfrom % of charges | $942.53 | $942.53 | $942.53 – $942.53 |
| 11 | Molina medicaid facility · percent of total billed charges · outpatientfrom % of charges | $942.53 | $942.53 | $942.53 – $942.53 |
| 12 | Molina medicare complete care hmo snp facility · percent of total billed charges · outpatientfrom % of charges | $942.53 | $942.53 | $942.53 – $942.53 |
| 13 | Regence medadvantage ppo facility · percent of total billed charges · outpatientfrom % of charges | $942.53 | $942.53 | $942.53 – $942.53 |
| 14 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $942.53 | $942.53 | $942.53 – $942.53 |
| 15 | Cigna open access flex facility · percent of total billed charges · inpatientfrom % of charges | $2,671 | $2,671 | $2,671 – $2,671 |
| 16 | Cigna open access flex facility · percent of total billed charges · outpatientfrom % of charges | $2,671 | $2,671 | $2,671 – $2,671 |
| 17 | Molina chip facility · percent of total billed charges · inpatientfrom % of charges | $2,671 | $2,671 | $2,671 – $2,671 |
| 18 | Molina chip facility · percent of total billed charges · outpatientfrom % of charges | $2,671 | $2,671 | $2,671 – $2,671 |
| 19 | Molina marketplace facility · percent of total billed charges · inpatientfrom % of charges | $2,671 | $2,671 | $2,671 – $2,671 |
| 20 | Molina marketplace facility · percent of total billed charges · outpatientfrom % of charges | $2,671 | $2,671 | $2,671 – $2,671 |
| 21 | Regence fehbp facility · percent of total billed charges · inpatientfrom % of charges | $2,671 | $2,671 | $2,671 – $2,671 |
| 22 | Regence fehbp facility · percent of total billed charges · outpatientfrom % of charges | $2,671 | $2,671 | $2,671 – $2,671 |
| 23 | Regence traditional facility · percent of total billed charges · inpatientfrom % of charges | $2,671 | $2,671 | $2,671 – $2,671 |
| 24 | Regence traditional facility · percent of total billed charges · outpatientfrom % of charges | $2,671 | $2,671 | $2,671 – $2,671 |
| 25 | Regence valuecare facility · percent of total billed charges · inpatientfrom % of charges | $2,671 | $2,671 | $2,671 – $2,671 |
Last updated: Aug 5, 2026
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