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
PR CT PELVIS W CNTRST
Barron, WI
See all hospitals reporting CPT 72193 →Price type
Mayo Clinic Health System’s median price of $613 is 31% above the median hospital's median price ($469), higher than 57% 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: 12 payers, 31 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 | Ucare ucare msho medicare advantage plan [1106] professional · fee schedule · outpatient | $109.02 | $109.02 | $41.83 – $176.21 |
| 2 | Ucare ucare connect medicare advantage plan [1107] professional · fee schedule · outpatient | $117.57 | $117.57 | $45.11 – $190.03 |
| 3 | Blue Cross Blue Shield blue cross blue shield federal retiree [950] professional · fee schedule · outpatient | $133.60 | $133.60 | $51.26 – $215.94 |
| 4 | Optum veteran affairs optum [1057] professional · fee schedule · outpatient | $133.60 | $133.60 | $51.26 – $215.94 |
| 5 | Medica medica advantage solution [791] professional · fee schedule · outpatient | $137.61 | $137.61 | $52.80 – $222.42 |
| 6 | Blue Cross Blue Shield anthem medicare advantage plan hmo [1236] professional · fee schedule · outpatient | $140.28 | $140.28 | $53.82 – $226.74 |
| 7 | Blue Cross Blue Shield anthem medicare advantage plan ppo [1224] professional · fee schedule · outpatient | $140.28 | $140.28 | $53.82 – $226.74 |
| 8 | Optum united healthcare medicare advantage plan complete by county [1259] professional · fee schedule · outpatient | $147.64 | $147.64 | $54.79 – $240.49 |
| 9 | UnitedHealthcare united healthcare medicare advantage plan complete by county [1259] professional · fee schedule · outpatient | $147.64 | $147.64 | $54.79 – $240.49 |
| 10 | UnitedHealthcare united healthcare medicare advantage plan complete [1401] professional · fee schedule · outpatient | $151.86 | $151.86 | $56.35 – $247.36 |
| 11 | Medica medica part b medicare advantage plan [495] professional · fee schedule · outpatient | $161.71 | $161.71 | $60.01 – $263.40 |
| 12 | Medica deanhp by medica west mc hmo [1261] professional · percent of total billed charges · outpatientfrom % of charges | $1,490 | $1,490 | $455.04 – $2,524 |
| 13 | Blue Cross Blue Shield nwwi anthem hmo and pos [54] professional · fee schedule · outpatient | $1,664 | $1,664 | $618.64 – $2,709 |
| 14 | Medica medica complete health full [1313] professional · percent of total billed charges · outpatientfrom % of charges | $1,759 | $1,759 | $537.20 – $2,980 |
| 15 | Medica nwwi medica non mayo employee group [762] professional · percent of total billed charges · outpatientfrom % of charges | $1,759 | $1,759 | $537.20 – $2,980 |
| 16 | Medica medica complete health self [207] professional · percent of total billed charges · outpatientfrom % of charges | $1,862 | $1,862 | $568.80 – $3,155 |
| 17 | UnitedHealthcare multi uhc [266] professional · fee schedule · outpatient | $1,903 | $1,903 | $581.44 – $3,226 |
| 18 | Optum medica medicare advantage plan behavioral health [1356] professional · percent of total billed charges · outpatientfrom % of charges | $1,924 | $1,924 | $587.76 – $3,261 |
| 19 | Healthpartners noncontracted [930] professional · percent of total billed charges · outpatientfrom % of charges | $1,945 | $1,945 | $594.08 – $3,296 |
| 20 | Medica nwwi medica ifb [1077] professional · percent of total billed charges · outpatientfrom % of charges | $1,954 | $1,954 | $596.92 – $3,311 |
| 21 | Medica rcmc medica choice [204] professional · percent of total billed charges · outpatientfrom % of charges | $1,954 | $1,954 | $596.92 – $3,311 |
| 22 | Anthem multi anthem [27] professional · percent of total billed charges · outpatientfrom % of charges | $1,966 | $1,966 | $600.40 – $3,331 |
| 23 | Blue Cross Blue Shield multi anthem [27] professional · percent of total billed charges · outpatientfrom % of charges | $1,966 | $1,966 | $600.40 – $3,331 |
| 24 | Aetna multi rcmc aetna [216] professional · percent of total billed charges · outpatientfrom % of charges | $1,976 | $1,976 | $603.56 – $3,348 |
| 25 | First Health multi rcmc aetna [216] professional · percent of total billed charges · outpatientfrom % of charges | $1,976 | $1,976 | $603.56 – $3,348 |
Last updated: Aug 14, 2026
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