CT scan of pelvis with contrast dye at Marshfield Medical Center - Beaver Dam

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CT-PELVIS W/CONTRAST SI JOINTS

Beaver Dam, WI

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How this price compares nationally

Marshfield Medical Center - Beaver Dam’s median price of $3.1k is 551% above the median hospital's median price ($469), higher than 96% of the 2,597 hospitals reporting CPT 72193. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72193 at Marshfield Medical Center - Beaver Dam

Negotiated rates from the hospital’s own file: 6 payers, 20 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	Humana medicare advantage facility · fee schedule · outpatient	$169.69	$169.69	$169.69 – $169.69
2	Molina medicare advantage facility · fee schedule · outpatient	$169.69	$169.69	$169.69 – $169.69
3	Anthem medicare advantage facility · fee schedule · outpatient	$174.78	$174.78	$174.78 – $174.78
4	Cigna ppo facility · percent of total billed charges · inpatientfrom % of charges	$2,489	$2,489	$2,489 – $2,489
5	Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$2,709	$2,709	$2,709 – $2,709
6	Humana hmo facility · percent of total billed charges · inpatientfrom % of charges	$2,892	$2,892	$2,892 – $2,892
7	Humana hmo facility · percent of total billed charges · outpatientfrom % of charges	$2,892	$2,892	$2,892 – $2,892
8	First Health ppo network facility · percent of total billed charges · inpatientfrom % of charges	$3,112	$3,112	$3,112 – $3,112
9	First Health ppo network facility · percent of total billed charges · outpatientfrom % of charges	$3,112	$3,112	$3,112 – $3,112
10	Molina hmo facility · percent of total billed charges · inpatientfrom % of charges	$3,112	$3,112	$3,112 – $3,112
11	Molina hmo facility · percent of total billed charges · outpatientfrom % of charges	$3,112	$3,112	$3,112 – $3,112
12	Humana ppo facility · percent of total billed charges · inpatientfrom % of charges	$3,258	$3,258	$3,258 – $3,258
13	Humana ppo facility · percent of total billed charges · outpatientfrom % of charges	$3,258	$3,258	$3,258 – $3,258
14	MultiPlan ppo network facility · percent of total billed charges · inpatientfrom % of charges	$3,405	$3,405	$3,405 – $3,405
15	MultiPlan ppo network facility · percent of total billed charges · outpatientfrom % of charges	$3,405	$3,405	$3,405 – $3,405
16	Anthem hmo/pos facility · per diem · outpatient	$3,449	$3,449	$3,449 – $3,449
17	MultiPlan workers comp facility · percent of total billed charges · inpatientfrom % of charges	$3,478	$3,478	$3,478 – $3,478
18	MultiPlan workers comp facility · percent of total billed charges · outpatientfrom % of charges	$3,478	$3,478	$3,478 – $3,478
19	Anthem ppo facility · per diem · outpatient	$5,836	$5,836	$5,836 – $5,836
20	Anthem traditional facility · per diem · outpatient	$5,836	$5,836	$5,836 – $5,836

Last updated: Feb 20, 2026

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