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
St, NE
See all hospitals reporting CPT 72193 →Price type
Mayo Clinic Health System’s median price of $667 is 42% 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: 14 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 [946] professional · fee schedule · outpatient | $114.74 | $114.74 | $42.58 – $186.90 |
| 2 | Ucare ucare connect medicare advantage plan [945] professional · fee schedule · outpatient | $123.74 | $123.74 | $45.92 – $201.56 |
| 3 | Blue Cross Blue Shield blue cross blue shield federal retiree [1126] professional · fee schedule · outpatient | $140.61 | $140.61 | $52.18 – $229.04 |
| 4 | Optum veteran affairs optum [1054] professional · fee schedule · outpatient | $140.61 | $140.61 | $52.18 – $229.04 |
| 5 | Blue Cross Blue Shield & swwi bcbs medicare advantage plan aco [1278] professional · fee schedule · outpatient | $144.83 | $144.83 | $53.75 – $235.91 |
| 6 | Medica medica advantage solution [790] 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 medica dual solution msho medicare advantage plan [1003] professional · fee schedule · outpatient | $147.64 | $147.64 | $54.79 – $240.49 |
| 9 | Ucare ucare essentia care medicare advantage plan [775] professional · fee schedule · outpatient | $161.71 | $161.71 | $60.01 – $263.40 |
| 10 | Healthpartners healthpartners part b medicare advantage plan [496] professional · fee schedule · outpatient | $210.92 | $210.92 | $78.27 – $343.56 |
| 11 | Anthem blue cross blue shield [240] professional · percent of total billed charges · outpatientfrom % of charges | $1,182 | $1,182 | $516.00 – $1,849 |
| 12 | Blue Cross Blue Shield blue cross blue shield blue plus se [828] professional · percent of total billed charges · outpatientfrom % of charges | $1,182 | $1,182 | $516.00 – $1,849 |
| 13 | Ucare ucare ifp [1113] professional · percent of total billed charges · outpatientfrom % of charges | $1,182 | $1,182 | $516.00 – $1,849 |
| 14 | Blue Cross Blue Shield winona health [1291] professional · percent of total billed charges · outpatientfrom % of charges | $1,340 | $1,340 | $584.80 – $2,095 |
| 15 | Medica deanhp by medica west mc hmo [1262] professional · percent of total billed charges · outpatientfrom % of charges | $1,387 | $1,387 | $605.44 – $2,169 |
| 16 | Medica medica complete health and engage [209] professional · percent of total billed charges · outpatientfrom % of charges | $1,387 | $1,387 | $605.44 – $2,169 |
| 17 | Medica medica non mayo employee group [763] professional · percent of total billed charges · outpatientfrom % of charges | $1,419 | $1,419 | $619.20 – $2,219 |
| 18 | Healthpartners noncontracted [932] professional · percent of total billed charges · outpatientfrom % of charges | $1,466 | $1,466 | $639.84 – $2,292 |
| 19 | Optum medica medicare advantage plan behavioral health [1356] professional · percent of total billed charges · outpatientfrom % of charges | $1,466 | $1,466 | $639.84 – $2,292 |
| 20 | Medica multi medica choice [205] professional · percent of total billed charges · outpatientfrom % of charges | $1,482 | $1,482 | $646.72 – $2,317 |
| 21 | Aetna multi aetna [1296] professional · percent of total billed charges · outpatientfrom % of charges | $1,498 | $1,498 | $653.60 – $2,342 |
| 22 | Cigna cigna [287] professional · percent of total billed charges · outpatientfrom % of charges | $1,498 | $1,498 | $653.60 – $2,342 |
| 23 | First Health multi aetna [1296] professional · percent of total billed charges · outpatientfrom % of charges | $1,498 | $1,498 | $653.60 – $2,342 |
| 24 | Healthpartners cigna [287] professional · percent of total billed charges · outpatientfrom % of charges | $1,498 | $1,498 | $653.60 – $2,342 |
| 25 | Humana cigna [287] professional · percent of total billed charges · outpatientfrom % of charges | $1,498 | $1,498 | $653.60 – $2,342 |
Last updated: Mar 31, 2026
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