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
CHG CT PELVIS W/CONTRAST MATERIAL
Jasper, IN
See all hospitals reporting CPT 72193 →Price type
Little Company of Mary Hospital of Indiana Inc’s median price of $208 is 56% below the median hospital's median price ($469), higher than 15% 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: 8 payers, 21 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 | Anthem hmo/ppo/traditional facility · fee schedule · outpatient | $109.56 | $109.56 | $109.56 – $109.56 |
| 2 | Anthem managed medicaid facility · fee schedule · outpatient | $123.28 | $123.28 | $123.28 – $123.28 |
| 3 | Anthem managed medicaid professional · fee schedule · both | $144.77 | $124.69 | $42.97 – $166.25 |
| 4 | Aetna medicare advantage professional · fee schedule · both | $207.72 | $155.42 | $50.83 – $207.72 |
| 5 | Anthem medicare advantage professional · fee schedule · both | $207.72 | $155.42 | $50.83 – $207.72 |
| 6 | Caresource medicare advantage professional · fee schedule · both | $207.72 | $155.42 | $50.83 – $207.72 |
| 7 | Humana medicare advantage professional · fee schedule · both | $207.72 | $155.42 | $50.83 – $207.72 |
| 8 | Tricare government professional · fee schedule · both | $207.72 | $155.42 | $50.83 – $207.72 |
| 9 | Tricare government facility · case rate · outpatient | $158.52 | $158.52 | $158.52 – $158.52 |
| 10 | UnitedHealthcare commercial professional · fee schedule · both | $226.36 | $169.82 | $56.75 – $226.36 |
| 11 | Aetna medicare advantage facility · case rate · outpatient | $186.49 | $186.49 | $186.49 – $186.49 |
| 12 | Anthem medicare advantage facility · case rate · outpatient | $186.49 | $186.49 | $186.49 – $186.49 |
| 13 | Caresource medicare advantage facility · case rate · outpatient | $186.49 | $186.49 | $186.49 – $186.49 |
| 14 | Humana medicare advantage facility · case rate · outpatient | $186.49 | $186.49 | $186.49 – $186.49 |
| 15 | Caresource commercial professional · fee schedule · both | $259.65 | $194.28 | $63.54 – $259.65 |
| 16 | Ambetter commercial professional · fee schedule · both | $270.04 | $202.05 | $66.08 – $270.04 |
| 17 | Anthem hmo/ppo/traditional professional · fee schedule · both | $297.01 | $223.07 | $75.20 – $297.01 |
| 18 | Caresource commercial facility · case rate · outpatient | $233.11 | $233.11 | $233.11 – $233.11 |
| 19 | Ambetter commercial facility · case rate · outpatient | $242.44 | $242.44 | $242.44 – $242.44 |
| 20 | Aetna commercial professional · fee schedule · both | $549.88 | $410.84 | $132.75 – $549.88 |
| 21 | Cigna commercial professional · fee schedule · both | $549.88 | $410.84 | $132.75 – $549.88 |
Last updated: Feb 13, 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.