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
Norway, ME
See all hospitals reporting CPT 72193 →Price type
MaineHealth’s median price of $395 is 16% below the median hospital's median price ($469), higher than 42% 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: 7 payers, 26 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 | Aetna mhaco government fee schedule · both | $137.70 | $137.70 | $54.58 – $220.82 |
| 2 | Anthem medicare advantage fee schedule · both | $137.70 | $137.70 | $54.58 – $220.82 |
| 3 | Aetna medicare advantage fee schedule · both | $158.36 | $158.36 | $62.77 – $253.94 |
| 4 | Humana medicare advantage fee schedule · both | $158.36 | $158.36 | $62.77 – $253.94 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $158.36 | $158.36 | $62.77 – $253.94 |
| 6 | WellCare medicare advantage fee schedule · both | $164.69 | $164.69 | $65.28 – $264.10 |
| 7 | Aetna hmo/ppo fee schedule · both | $185.84 | $185.84 | $74.14 – $297.54 |
| 8 | MultiPlan commercial fee schedule · both | $308.60 | $272.07 | $99.50 – $408.10 |
| 9 | UnitedHealthcare commercial fee schedule · both | $324.84 | $286.39 | $104.74 – $429.58 |
| 10 | Aetna mhaco commercial fee schedule · both | $291.05 | $291.05 | $108.82 – $473.28 |
| 11 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $395.42 | $395.42 | $395.42 – $395.42 |
| 12 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $395.42 | $395.42 | $395.42 – $395.42 |
| 13 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $395.42 | $395.42 | $395.42 – $395.42 |
| 14 | Anthem medicare advantage percent of total billed charges · outpatientfrom % of charges | $407.28 | $407.28 | $407.28 – $407.28 |
| 15 | WellCare medicare advantage percent of total billed charges · outpatientfrom % of charges | $411.24 | $411.24 | $411.24 – $411.24 |
| 16 | Anthem hmo/pos/ppo pathway enhanced fee schedule · both | $480.51 | $480.51 | $138.09 – $822.92 |
| 17 | Anthem hmo/pos/ppo pathway enhanced fee schedule · outpatient | $819.00 | $819.00 | $819.00 – $819.00 |
| 18 | Aetna hmo/ppo percent of total billed charges · inpatientfrom % of charges | $926.70 | $926.70 | $926.70 – $926.70 |
| 19 | Aetna hmo/ppo percent of total billed charges · outpatientfrom % of charges | $926.70 | $926.70 | $926.70 – $926.70 |
| 20 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $944.95 | $944.95 | $944.95 – $944.95 |
| 21 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $944.95 | $944.95 | $944.95 – $944.95 |
| 22 | Anthem hmo/pos/ppo pathway enhanced percent of total billed charges · inpatientfrom % of charges | $947.29 | $947.29 | $947.29 – $947.29 |
| 23 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $953.07 | $953.07 | $953.07 – $953.07 |
| 24 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $953.07 | $953.07 | $953.07 – $953.07 |
| 25 | UnitedHealthcare commercial percent of total billed charges · inpatientfrom % of charges | $973.34 | $973.34 | $973.34 – $973.34 |
Last updated: Sep 9, 2025
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.