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
Stafford Springs, CT
See all hospitals reporting CPT 72193 →Price type
Johnson Memorial Hospital’s median price of $794 is 69% above the median hospital's median price ($469), higher than 65% 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: 16 payers, 24 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 aetna medicare advantage facility · other · both | $206.07 | $206.07 | $206.07 – $206.07 |
| 2 | Anthem anthem mediblue medicare advantage facility · other · both | $206.07 | $206.07 | $206.07 – $206.07 |
| 3 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $206.07 | $206.07 | $206.07 – $206.07 |
| 4 | WellCare wellcare medicare advantage facility · other · both | $210.27 | $210.27 | $210.27 – $210.27 |
| 5 | Cigna cigna medicare advantage facility · other · both | $212.25 | $212.25 | $212.25 – $212.25 |
| 6 | UnitedHealthcare united healthcare facility · fee schedule · both | $291.55 | $291.55 | $291.55 – $291.55 |
| 7 | Cigna cigna facility · fee schedule · both | $391.08 | $391.08 | $391.08 – $391.08 |
| 8 | Aetna aetna whole health facility · fee schedule · both | $464.28 | $464.28 | $464.28 – $464.28 |
| 9 | Aetna aetna facility · fee schedule · both | $581.27 | $581.27 | $581.27 – $581.27 |
| 10 | Anthem anthem individual pathway hmo ppo facility · fee schedule · both | $615.35 | $615.35 | $615.35 – $615.35 |
| 11 | Anthem anthem bluecare prime facility · fee schedule · both | $714.60 | $714.60 | $714.60 – $714.60 |
| 12 | Anthem anthem facility · fee schedule · both | $794.00 | $794.00 | $794.00 – $794.00 |
| 13 | Blue Cross Blue Shield anthem facility · fee schedule · both | $794.00 | $794.00 | $794.00 – $794.00 |
| 14 | Carefirst anthem facility · fee schedule · both | $794.00 | $794.00 | $794.00 – $794.00 |
| 15 | Excellus anthem facility · fee schedule · both | $794.00 | $794.00 | $794.00 – $794.00 |
| 16 | Highmark anthem facility · fee schedule · both | $794.00 | $794.00 | $794.00 – $794.00 |
| 17 | Kaiser anthem facility · fee schedule · both | $794.00 | $794.00 | $794.00 – $794.00 |
| 18 | Premera anthem facility · fee schedule · both | $794.00 | $794.00 | $794.00 – $794.00 |
| 19 | Regence anthem facility · fee schedule · both | $794.00 | $794.00 | $794.00 – $794.00 |
| 20 | Wellmark anthem facility · fee schedule · both | $794.00 | $794.00 | $794.00 – $794.00 |
| 21 | Cigna evernorth facility · percent of total billed charges · bothfrom % of charges | $1,234 | $1,234 | $1,234 – $1,234 |
| 22 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $1,313 | $1,313 | $1,313 – $1,313 |
| 23 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $1,313 | $1,313 | $1,313 – $1,313 |
| 24 | Optum united healthcare behavioral health facility · percent of total billed charges · bothfrom % of charges | $1,582 | $1,582 | $1,582 – $1,582 |
Last updated: Mar 31, 2026
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