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 IV CONT
Alexandria, VA
See all hospitals reporting CPT 72193 →Price type
Inova Mount Vernon Hospital’s median price of $482 is 3% above the median hospital's median price ($469), higher than 51% 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: 7 payers, 27 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 advantage fee schedule · both | $178.02 | $178.02 | $178.02 – $178.02 |
| 2 | Anthem medicare advantage fee schedule · both | $178.02 | $178.02 | $178.02 – $178.02 |
| 3 | UnitedHealthcare medicare advantage fee schedule · both | $178.02 | $178.02 | $178.02 – $178.02 |
| 4 | Cigna medicare advantage fee schedule · both | $185.14 | $185.14 | $185.14 – $185.14 |
| 5 | Kaiser medicare advantage fee schedule · both | $185.14 | $185.14 | $185.14 – $185.14 |
| 6 | Humana medicare advantage fee schedule · both | $195.82 | $195.82 | $195.82 – $195.82 |
| 7 | UnitedHealthcare exchange fee schedule · both | $410.47 | $410.47 | $410.47 – $410.47 |
| 8 | UnitedHealthcare nonoptions fee schedule · both | $410.47 | $410.47 | $410.47 – $410.47 |
| 9 | UnitedHealthcare options fee schedule · both | $410.47 | $410.47 | $410.47 – $410.47 |
| 10 | Anthem exchange hmo fee schedule · both | $413.00 | $413.00 | $413.00 – $413.00 |
| 11 | Anthem medicaid advantage fee schedule · both | $461.67 | $461.67 | $461.67 – $461.67 |
| 12 | UnitedHealthcare medicaid advantage fee schedule · both | $470.90 | $470.90 | $470.90 – $470.90 |
| 13 | Anthem hmo fee schedule · both | $476.06 | $476.06 | $476.06 – $476.06 |
| 14 | Anthem ppo fee schedule · both | $476.06 | $476.06 | $476.06 – $476.06 |
| 15 | Humana medicaid advantage fee schedule · both | $480.14 | $480.14 | $480.14 – $480.14 |
| 16 | Aetna medicaid advantage fee schedule · both | $484.75 | $484.75 | $484.75 – $484.75 |
| 17 | Kaiser medicaid advantage fee schedule · both | $507.84 | $507.84 | $507.84 – $507.84 |
| 18 | Carefirst hmo fee schedule · both | $1,197 | $1,197 | $1,197 – $1,197 |
| 19 | Kaiser hmo other · both | $1,242 | $1,242 | $1,242 – $1,242 |
| 20 | Kaiser ppo other · both | $1,242 | $1,242 | $1,242 – $1,242 |
| 21 | Carefirst ppo fee schedule · both | $1,298 | $1,298 | $1,298 – $1,298 |
| 22 | Aetna fannie-mae case rate · both | $1,487 | $1,487 | $1,487 – $1,487 |
| 23 | Aetna hmo case rate · both | $1,739 | $1,739 | $1,739 – $1,739 |
| 24 | Aetna ppo case rate · both | $1,739 | $1,739 | $1,739 – $1,739 |
| 25 | Cigna exchange fee schedule · both | $2,698 | $2,698 | $2,698 – $2,698 |
Last updated: Apr 1, 2026
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