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 Dye
Spirit Lake, IA
See all hospitals reporting CPT 72193 →Price type
Lakes Regional Hospital’s median price of $1.4k is 189% above the median hospital's median price ($469), higher than 81% 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: 4 payers, 10 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Medica com fee schedule · outpatient | $593.33 | $593.33 | $593.33 – $593.33 |
| 2 | Medica ind fee schedule · outpatient | $593.33 | $593.33 | $593.33 – $593.33 |
| 3 | Wellmark hmo case rate · outpatient | $916.24 | $916.24 | $916.24 – $916.24 |
| 4 | Wellmark ppo case rate · outpatient | $916.24 | $916.24 | $916.24 – $916.24 |
| 5 | Medica ind percent of total billed charges · inpatientfrom % of charges | $1,246 | $1,246 | $1,246 – $1,246 |
| 6 | Medica com percent of total billed charges · inpatientfrom % of charges | $1,464 | $1,464 | $1,464 – $1,464 |
| 7 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $1,514 | $1,514 | $1,514 – $1,514 |
| 8 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $1,514 | $1,514 | $1,514 – $1,514 |
| 9 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $1,749 | $1,749 | $1,749 – $1,749 |
| 10 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $1,749 | $1,749 | $1,749 – $1,749 |
Last updated: Apr 1, 2026
See CT scan of pelvis with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.