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

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

Weston, WI

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How this price compares nationally

Marshfield Medical Center - Weston’s median price of $2.1k is 345% above the median hospital's median price ($469), higher than 90% 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 - Weston

Negotiated rates from the hospital’s own file: 7 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	Anthem medicare advantage facility · fee schedule · outpatient	$174.11	$174.11	$174.11 – $174.11
2	Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges	$1,300	$1,300	$1,300 – $1,300
3	Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,300	$1,300	$1,300 – $1,300
4	Anthem hmo/pos facility · per diem · outpatient	$1,592	$1,592	$1,592 – $1,592
5	Anthem ppo facility · per diem · outpatient	$1,740	$1,740	$1,740 – $1,740
6	Anthem traditional facility · per diem · outpatient	$1,820	$1,820	$1,820 – $1,820
7	Molina hmo facility · percent of total billed charges · inpatientfrom % of charges	$2,009	$2,009	$2,009 – $2,009
8	Molina hmo facility · percent of total billed charges · outpatientfrom % of charges	$2,009	$2,009	$2,009 – $2,009
9	Medica ppo facility · percent of total billed charges · outpatientfrom % of charges	$2,202	$2,202	$2,202 – $2,202
10	Cigna ppo facility · percent of total billed charges · inpatientfrom % of charges	$2,221	$2,221	$2,221 – $2,221
11	Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$2,221	$2,221	$2,221 – $2,221
12	MultiPlan ppo network facility · percent of total billed charges · inpatientfrom % of charges	$2,221	$2,221	$2,221 – $2,221
13	MultiPlan ppo network facility · percent of total billed charges · outpatientfrom % of charges	$2,221	$2,221	$2,221 – $2,221
14	First Health ppo network facility · percent of total billed charges · inpatientfrom % of charges	$2,245	$2,245	$2,245 – $2,245
15	First Health ppo network facility · percent of total billed charges · outpatientfrom % of charges	$2,245	$2,245	$2,245 – $2,245
16	MultiPlan workers comp facility · percent of total billed charges · inpatientfrom % of charges	$2,245	$2,245	$2,245 – $2,245
17	MultiPlan workers comp facility · percent of total billed charges · outpatientfrom % of charges	$2,245	$2,245	$2,245 – $2,245
18	Medica medica care system facility · percent of total billed charges · inpatientfrom % of charges	$2,250	$2,250	$2,250 – $2,250
19	Medica medica care system facility · percent of total billed charges · outpatientfrom % of charges	$2,250	$2,250	$2,250 – $2,250

Last updated: Feb 20, 2026

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