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/O & W/DYE
TAVERNIER, FL
See all hospitals reporting CPT 72194 →Price type
Mariners Hospital’s median price of $3.9k is 701% above the median hospital's median price ($488), higher than 97% of the 2,589 hospitals reporting CPT 72194. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 38 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 | Medicaid simplyhlth md hmo nc fee schedule · both | $197 | $197 | — | — | — | $197 – $197 |
| 2 | UnitedHealthcare united healthy kids fee schedule · both | $197 | $197 | — | — | — | $197 – $197 |
| 3 | UnitedHealthcare united md hmo fee schedule · both | $197 | $197 | — | — | — | $197 – $197 |
| 4 | WellCare well care md hmonc fee schedule · both | $207 | $207 | — | — | — | $207 – $207 |
| 5 | Aetna aetna better health healthy kids fee schedule · both | $213 | $213 | — | — | — | $213 – $213 |
| 6 | Aetna aetna better health medicaid fee schedule · both | $213 | $213 | — | — | — | $213 – $213 |
| 7 | Medicaid prestige md hmo nc fee schedule · both | $217 | $217 | — | — | — | $217 – $217 |
| 8 | Blue Cross Blue Shield my blue ex percent of total billed charges · bothfrom % of charges | $984 | $984 | — | — | — | $984 – $984 |
| 9 | Blue Cross Blue Shield bcbs medicare ppo percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 10 | Medica medica mcr hmo percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 11 | Medicare simplyhlth mc hmo nc percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 12 | UnitedHealthcare united hlth mc hmo percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 13 | Humana careplus mc hmo percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 14 | Humana humana medicare percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | Aetna aetna medicare percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 16 | Cigna cigna medicare advantage percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 17 | Medicare devoted health mc hmo percent of total billed charges · bothfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 18 | Blue Cross Blue Shield bcbs fl simplyblue hmo percent of total billed charges · bothfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 19 | Aetna aetna hmo exchange percent of total billed charges · bothfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 20 | Cigna cigna connect network exchange percent of total billed charges · bothfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 21 | Blue Cross Blue Shield bcbs ppc cah percent of total billed charges · bothfrom % of charges | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 22 | Blue Cross Blue Shield blue care hmo percent of total billed charges · bothfrom % of charges | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 23 | Blue Cross Blue Shield blue select percent of total billed charges · bothfrom % of charges | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 24 | Aetna aetna catastrophic percent of total billed charges · bothfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 25 | Aetna aetna hmo percent of total billed charges · bothfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
Last updated: Mar 30, 2026
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