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
CT PELVIS W
Monticello, IL
See all hospitals reporting CPT 72193 →Price type
Kirby Medical Center’s median price of $280 is 40% below the median hospital's median price ($469), higher than 29% 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: 9 payers, 39 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 | Bcbs Il medicare-medicaid plan/blue cross community mmai professional · fee schedule · both | $126.23 | $112.74 | $42.88 – $169.10 |
| 2 | Aetna medicare advantage/hmo/ppo professional · fee schedule · both | $157.79 | $140.92 | $53.60 – $211.38 |
| 3 | Bcbs Il medicare advantage/hmo/ppo professional · fee schedule · both | $157.79 | $140.92 | $53.60 – $211.38 |
| 4 | UnitedHealthcare medicare advantage/hmo/ppo professional · fee schedule · both | $157.79 | $140.92 | $53.60 – $211.38 |
| 5 | UnitedHealthcare va community care network professional · fee schedule · both | $157.79 | $140.92 | $53.60 – $211.38 |
| 6 | WellCare medicare advantage/hmo/ppo professional · fee schedule · both | $157.79 | $140.92 | $53.60 – $211.38 |
| 7 | Molina medicare-medicaid plan/molina dual options mmai professional · fee schedule · both | $162.52 | $145.15 | $55.21 – $217.72 |
| 8 | Aetna Better Health managed medicaid/healthchoice illinois medicaid professional · fee schedule · both | $146.50 | $146.50 | $146.50 – $146.50 |
| 9 | Bcbs Il managed medicaid/healthchoice illinois medicaid professional · fee schedule · both | $146.50 | $146.50 | $146.50 – $146.50 |
| 10 | Molina managed medicaid/healthchoice illinois medicaid professional · fee schedule · both | $153.83 | $153.83 | $153.83 – $153.83 |
| 11 | UnitedHealthcare hmo/ppo professional · fee schedule · both | $180.19 | $180.19 | $62.56 – $297.82 |
| 12 | Aetna commercial/hmo/ppo professional · fee schedule · both | $220.26 | $220.26 | $88.11 – $352.40 |
| 13 | Humana ppo professional · fee schedule · both | $295.20 | $295.20 | $295.20 – $295.20 |
| 14 | MultiPlan ppo professional · percent of total billed charges · bothfrom % of charges | $351.00 | $351.00 | $351.00 – $351.00 |
| 15 | Aetna medicare advantage/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,550 | $1,550 | $1,550 – $1,550 |
| 16 | Aetna Better Health medicare-medicaid plan/premier plan mmai facility · percent of total billed charges · outpatientfrom % of charges | $1,550 | $1,550 | $1,550 – $1,550 |
| 17 | Humana medicare advantage/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,550 | $1,550 | $1,550 – $1,550 |
| 18 | Humana medicare-medicaid plan/humana gold integrated plus mmai facility · percent of total billed charges · outpatientfrom % of charges | $1,550 | $1,550 | $1,550 – $1,550 |
| 19 | UnitedHealthcare medicare advantage/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,550 | $1,550 | $1,550 – $1,550 |
| 20 | UnitedHealthcare va community care network facility · percent of total billed charges · outpatientfrom % of charges | $1,550 | $1,550 | $1,550 – $1,550 |
| 21 | WellCare medicare advantage/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,550 | $1,550 | $1,550 – $1,550 |
| 22 | Bcbs Il medicare advantage/hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,581 | $1,581 | $1,581 – $1,581 |
| 23 | Bcbs Il medicare-medicaid plan/blue cross community mmai facility · percent of total billed charges · outpatientfrom % of charges | $1,581 | $1,581 | $1,581 – $1,581 |
| 24 | Molina medicare-medicaid plan/molina dual options mmai facility · percent of total billed charges · outpatientfrom % of charges | $1,597 | $1,597 | $1,597 – $1,597 |
| 25 | Bcbs Il ppo professional · other · both | $3,293 | $3,293 | $3,293 – $3,293 |
Last updated: Jun 11, 2026
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