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 CONTRAST
Mahnomen, MN
See all hospitals reporting CPT 72193 →Price type
Mahnomen Health Center’s median price of $849 is 81% above the median hospital's median price ($469), higher than 67% 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: 5 payers, 12 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 | Sanford Health Plan medicare advantage facility · case rate · outpatient | $178.02 | $178.02 | $178.02 – $178.02 |
| 2 | Ucare medicare advantage facility · case rate · outpatient | $186.92 | $186.92 | $186.92 – $186.92 |
| 3 | UnitedHealthcare managed medicaid facility · case rate · outpatient | $186.92 | $186.92 | $186.92 – $186.92 |
| 4 | Medica minnesota senior health options/select solution/prime solution facility · case rate · outpatient | $654.00 | $654.00 | $654.00 – $654.00 |
| 5 | Medica choice care facility · case rate · outpatient | $667.00 | $667.00 | $667.00 – $667.00 |
| 6 | Bcbs Mn minnesota health care programs (mhcp) facility · percent of total billed charges · outpatientfrom % of charges | $683.52 | $683.52 | $683.52 – $683.52 |
| 7 | Medica commercial facility · case rate · outpatient | $1,014 | $1,014 | $1,014 – $1,014 |
| 8 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1,093 | $1,093 | $1,093 – $1,093 |
| 9 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1,190 | $1,190 | $1,190 – $1,190 |
| 10 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,603 | $1,603 | $1,603 – $1,603 |
| 11 | Bcbs Mn blue cross blue plus facility · percent of total billed charges · outpatientfrom % of charges | $1,749 | $1,749 | $1,749 – $1,749 |
| 12 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,308 | $2,308 | $2,308 – $2,308 |
Last updated: Jul 16, 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.