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
Sac City, IA
See all hospitals reporting CPT 72193 →Price type
Loring Hospital’s median price of $1.8k is 283% above the median hospital's median price ($469), higher than 87% 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: 6 payers, 19 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 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $458.45 | $458.45 | $458.45 – $458.45 |
| 2 | Blue Cross Blue Shield hmo facility · percent of total billed charges · inpatientfrom % of charges | $1,168 | $1,168 | $1,168 – $1,168 |
| 3 | Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $1,168 | $1,168 | $1,168 – $1,168 |
| 4 | Blue Cross Blue Shield ppo facility · percent of total billed charges · inpatientfrom % of charges | $1,168 | $1,168 | $1,168 – $1,168 |
| 5 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $1,499 | $1,499 | $1,499 – $1,499 |
| 6 | Blue Cross Blue Shield medicare facility · percent of total billed charges · outpatientfrom % of charges | $1,499 | $1,499 | $1,499 – $1,499 |
| 7 | Humana medicare facility · percent of total billed charges · outpatientfrom % of charges | $1,499 | $1,499 | $1,499 – $1,499 |
| 8 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $1,499 | $1,499 | $1,499 – $1,499 |
| 9 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,558 | $1,558 | $1,558 – $1,558 |
| 10 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,558 | $1,558 | $1,558 – $1,558 |
| 11 | Molina medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1,798 | $1,798 | $1,798 – $1,798 |
| 12 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,850 | $1,850 | $1,850 – $1,850 |
| 13 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,850 | $1,850 | $1,850 – $1,850 |
| 14 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,869 | $1,869 | $1,869 – $1,869 |
| 15 | Aetna medicare facility · per diem · inpatient | $1,947 | $1,947 | $1,947 – $1,947 |
| 16 | Blue Cross Blue Shield medicare facility · per diem · inpatient | $1,947 | $1,947 | $1,947 – $1,947 |
| 17 | Humana medicare facility · per diem · inpatient | $1,947 | $1,947 | $1,947 – $1,947 |
| 18 | Molina medicaid facility · case rate · inpatient | $1,947 | $1,947 | $1,947 – $1,947 |
| 19 | UnitedHealthcare medicare facility · per diem · inpatient | $1,947 | $1,947 | $1,947 – $1,947 |
Last updated: Aug 25, 2026
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