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
St. George, UT
See all hospitals reporting CPT 72193 →Price type
IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital’s median price of $1.3k is 184% above the median hospital's median price ($469), higher than 80% 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, 55 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 | Humana medicare choice ppo professional · fee schedule · outpatient | $110.58 | $110.58 | $54.25 – $166.90 |
| 4 | Molina medicaid professional · fee schedule · outpatient | $110.58 | $110.58 | $54.25 – $166.90 |
| 5 | Molina medicare advantage professional · fee schedule · outpatient | $110.58 | $110.58 | $54.25 – $166.90 |
| 6 | Molina medicare choice care hmo professional · fee schedule · outpatient | $110.58 | $110.58 | $54.25 – $166.90 |
| 7 | Molina medicare complete care hmo snp professional · fee schedule · outpatient | $110.58 | $110.58 | $54.25 – $166.90 |
| 8 | Regence medadvantage ppo professional · fee schedule · outpatient | $110.58 | $110.58 | $54.25 – $166.90 |
| 9 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $110.58 | $110.58 | $54.25 – $166.90 |
| 10 | Aetna medicare adv hmo facility · case rate · outpatient | $177.60 | $177.60 | $177.60 – $177.60 |
| 11 | Molina medicaid facility · case rate · outpatient | $177.60 | $177.60 | $177.60 – $177.60 |
| 12 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $177.60 | $177.60 | $177.60 – $177.60 |
| 13 | Humana medicare choice ppo facility · case rate · outpatient | $186.48 | $186.48 | $186.48 – $186.48 |
| 14 | Regence medadvantage ppo facility · case rate · outpatient | $188.25 | $188.25 | $188.25 – $188.25 |
| 15 | Molina medicare advantage facility · case rate · outpatient | $191.81 | $191.81 | $191.81 – $191.81 |
| 16 | Molina medicare choice care hmo facility · case rate · outpatient | $191.81 | $191.81 | $191.81 – $191.81 |
| 17 | Molina medicare complete care hmo snp facility · case rate · outpatient | $191.81 | $191.81 | $191.81 – $191.81 |
| 18 | Aetna medicare adv ppo facility · case rate · outpatient | $195.36 | $195.36 | $195.36 – $195.36 |
| 19 | Aetna standard facility · fee schedule · outpatient | $805.00 | $805.00 | $805.00 – $805.00 |
| 20 | Regence blueoption facility · fee schedule · outpatient | $805.00 | $805.00 | $805.00 – $805.00 |
| 21 | UnitedHealthcare charter facility · fee schedule · outpatient | $805.00 | $805.00 | $805.00 – $805.00 |
| 22 | UnitedHealthcare non-options ppo facility · fee schedule · outpatient | $805.00 | $805.00 | $805.00 – $805.00 |
| 23 | UnitedHealthcare options ppo facility · fee schedule · outpatient | $805.00 | $805.00 | $805.00 – $805.00 |
| 24 | Cigna open access flex facility · percent of total billed charges · inpatientfrom % of charges | $2,592 | $2,592 | $2,592 – $2,592 |
| 25 | Cigna open access flex facility · percent of total billed charges · outpatientfrom % of charges | $2,592 | $2,592 | $2,592 – $2,592 |
Last updated: Aug 5, 2026
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