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
BC CT PELVIS W CONTRAST
Washington, DC
See all hospitals reporting CPT 72193 →Price type
MedStar Georgetown Hospital’s median price of $930 is 98% above the median hospital's median price ($469), higher than 70% 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: 10 payers, 22 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 | Carefirst carefirst medicare advantage facility · fee schedule · outpatient | $207.21 | $207.21 | $207.21 – $207.21 |
| 2 | Tricare tricare facility · fee schedule · outpatient | $207.21 | $207.21 | $207.21 – $207.21 |
| 3 | UnitedHealthcare optum va community care facility · fee schedule · outpatient | $207.21 | $207.21 | $207.21 – $207.21 |
| 4 | UnitedHealthcare united secure facility · fee schedule · outpatient | $209.28 | $209.28 | $209.28 – $209.28 |
| 5 | Aetna aetna medicare facility · fee schedule · outpatient | $213.43 | $213.43 | $213.43 – $213.43 |
| 6 | Humana humana medicare advantage facility · fee schedule · outpatient | $217.57 | $217.57 | $217.57 – $217.57 |
| 7 | Anthem anthem-hmo medicaid facility · fee schedule · outpatient | $510.26 | $510.26 | $510.26 – $510.26 |
| 8 | Amerihealth Caritas amerihealth facility · fee schedule · outpatient | $692.90 | $692.90 | $692.90 – $692.90 |
| 9 | UnitedHealthcare uhc navigate/core facility · fee schedule · outpatient | $723.35 | $723.35 | $723.35 – $723.35 |
| 10 | UnitedHealthcare united healthcare all hmo & mamsi products facility · fee schedule · outpatient | $764.52 | $764.52 | $764.52 – $764.52 |
| 11 | UnitedHealthcare united healthcare all ppo products facility · fee schedule · outpatient | $870.37 | $870.37 | $870.37 – $870.37 |
| 12 | UnitedHealthcare unitedhealthcare community plan of maryland facility · percent of total billed charges · outpatientfrom % of charges | $930.06 | $930.06 | $930.06 – $930.06 |
| 13 | Aetna aetna all hmo and ppo plans facility · fee schedule · outpatient | $1,107 | $1,107 | $1,107 – $1,107 |
| 14 | UnitedHealthcare unitedhealthcare community plan of maryland facility · percent of total billed charges · inpatientfrom % of charges | $1,163 | $1,163 | $1,163 – $1,163 |
| 15 | Carefirst all carefirst hmo plans facility · fee schedule · outpatient | $1,287 | $1,287 | $1,287 – $1,287 |
| 16 | Carefirst all carefirst ppo plans facility · fee schedule · outpatient | $1,287 | $1,287 | $1,287 – $1,287 |
| 17 | Cigna all cigna hmo facility · case rate · outpatient | $1,608 | $1,608 | $1,608 – $1,608 |
| 18 | Cigna all cigna ppo facility · case rate · outpatient | $1,608 | $1,608 | $1,608 – $1,608 |
| 19 | Phcs private healthcare systems (phcs) facility · percent of total billed charges · inpatientfrom % of charges | $2,657 | $2,657 | $2,657 – $2,657 |
| 20 | Phcs private healthcare systems (phcs) facility · percent of total billed charges · outpatientfrom % of charges | $2,657 | $2,657 | $2,657 – $2,657 |
| 21 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $2,823 | $2,823 | $2,823 – $2,823 |
| 22 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $2,823 | $2,823 | $2,823 – $2,823 |
Last updated: Apr 1, 2026
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