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
Sparta, WI
See all hospitals reporting CPT 72193 →Price type
Mayo Clinic Health System’s median price of $646 is 38% above the median hospital's median price ($469), higher than 59% 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: 16 payers, 37 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 | Tricare swwi tricare [689] professional · fee schedule · outpatient | $132.42 | $132.42 | $51.05 – $213.79 |
| 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 & swwi bcbs medicare advantage plan aco [1278] professional · fee schedule · outpatient | $144.83 | $144.83 | $53.75 – $235.91 |
| 7 | Blue Cross Blue Shield & swwi bcbs medicare advantage plan msho [257] professional · fee schedule · outpatient | $147.64 | $147.64 | $54.79 – $240.49 |
| 8 | Medica swwi medica dual solution msho [1006] professional · fee schedule · outpatient | $147.64 | $147.64 | $54.79 – $240.49 |
| 9 | Ucare swwi ucare essentia care medicare advantage plan [774] professional · fee schedule · outpatient | $153.64 | $153.64 | $58.95 – $248.33 |
| 10 | Blue Cross Blue Shield swwi anthem hmo and pos [59] professional · fee schedule · outpatient | $646.00 | $1,324 | $618.64 – $2,709 |
| 11 | Medica swwi medica engage ifb [1299] professional · percent of total billed charges · outpatientfrom % of charges | $1,375 | $1,375 | $419.90 – $2,331 |
| 12 | UnitedHealthcare swwi uhc [243] professional · fee schedule · outpatient | $646.00 | $1,513 | $594.32 – $3,299 |
| 13 | Medica deanhp by medica west mc hmo [1261] professional · percent of total billed charges · outpatientfrom % of charges | $1,524 | $1,524 | $465.12 – $2,582 |
| 14 | Anthem swwi anthem ppo [19] professional · fee schedule · outpatient | $646.00 | $1,527 | $600.78 – $3,335 |
| 15 | Blue Cross Blue Shield swwi anthem ppo [19] professional · fee schedule · outpatient | $646.00 | $1,527 | $600.78 – $3,335 |
| 16 | Medica swwi medica non mayo employee group [761] professional · percent of total billed charges · outpatientfrom % of charges | $1,693 | $1,693 | $516.80 – $2,869 |
| 17 | Blue Cross Blue Shield & swwi blueplus with mayo clinic [239] professional · percent of total billed charges · outpatientfrom % of charges | $1,799 | $1,799 | $549.10 – $3,048 |
| 18 | Medica medica complete health full [1313] professional · percent of total billed charges · outpatientfrom % of charges | $1,799 | $1,799 | $549.10 – $3,048 |
| 19 | Ucare swwi ucare ifp [1112] professional · percent of total billed charges · outpatientfrom % of charges | $1,862 | $1,862 | $568.48 – $3,156 |
| 20 | Blue Cross Blue Shield swwi bcbs [647] professional · percent of total billed charges · outpatientfrom % of charges | $1,904 | $1,904 | $581.40 – $3,227 |
| 21 | Medica medica complete health self [207] professional · percent of total billed charges · outpatientfrom % of charges | $1,904 | $1,904 | $581.40 – $3,227 |
| 22 | Healthpartners noncontracted [930] professional · percent of total billed charges · outpatientfrom % of charges | $1,989 | $1,989 | $607.24 – $3,371 |
| 23 | Medica multi medica choice [205] professional · percent of total billed charges · outpatientfrom % of charges | $1,989 | $1,989 | $607.24 – $3,371 |
| 24 | Medica multi medica ifb [1076] professional · percent of total billed charges · outpatientfrom % of charges | $1,989 | $1,989 | $607.24 – $3,371 |
| 25 | Cigna cigna [284] professional · percent of total billed charges · outpatientfrom % of charges | $2,010 | $2,010 | $613.70 – $3,407 |
Last updated: Aug 14, 2026
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.