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
HC CT PELVIS W CONT
Fremont, OH
See all hospitals reporting CPT 72193 →Price type
Memorial Hospital’s median price of $832 is 77% above the median hospital's median price ($469), higher than 67% 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, 34 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 | Aetna aetna medicare facility · other · outpatient | $163.28 | $163.28 | $163.28 – $163.28 |
| 2 | Aetna aetna mycare oh medicare facility · fee schedule · outpatient | $163.28 | $163.28 | $163.28 – $163.28 |
| 3 | Anthem anthem medicare facility · fee schedule · outpatient | $163.28 | $163.28 | $163.28 – $163.28 |
| 4 | Humana humana medicare oh facility · fee schedule · outpatient | $163.28 | $163.28 | $163.28 – $163.28 |
| 5 | Molina molina of oh medicare facility · fee schedule · outpatient | $163.28 | $163.28 | $163.28 – $163.28 |
| 6 | Aetna aetna medicare professional · fee schedule · outpatient | $206.36 | $206.36 | $206.36 – $206.36 |
| 7 | Aetna aetna mycare oh medicare professional · fee schedule · outpatient | $206.36 | $206.36 | $206.36 – $206.36 |
| 8 | Anthem anthem medicare professional · fee schedule · outpatient | $206.36 | $206.36 | $206.36 – $206.36 |
| 9 | Humana humana medicare oh professional · fee schedule · outpatient | $206.36 | $206.36 | $206.36 – $206.36 |
| 10 | Molina molina of oh medicare professional · fee schedule · outpatient | $206.36 | $206.36 | $206.36 – $206.36 |
| 11 | Caresource caresource just4me facility · fee schedule · outpatient | $313.05 | $313.05 | $313.05 – $313.05 |
| 12 | Caresource caresource just4me professional · fee schedule · outpatient | $325.55 | $325.55 | $325.55 – $325.55 |
| 13 | Aetna Better Health aetna better health of ohio facility · fee schedule · outpatient | $422.63 | $422.63 | $422.63 – $422.63 |
| 14 | Caresource caresource facility · fee schedule · outpatient | $422.63 | $422.63 | $422.63 – $422.63 |
| 15 | Molina molina of oh facility · fee schedule · outpatient | $422.63 | $422.63 | $422.63 – $422.63 |
| 16 | UnitedHealthcare uhc medicaid - unison facility · fee schedule · outpatient | $422.63 | $422.63 | $422.63 – $422.63 |
| 17 | Anthem anthem medicaid facility · fee schedule · outpatient | $435.31 | $435.31 | $435.31 – $435.31 |
| 18 | Cigna cigna facility · other · outpatient | $440.00 | $440.00 | $440.00 – $440.00 |
| 19 | UnitedHealthcare uhc facility · per diem · outpatient | $754.00 | $754.00 | $754.00 – $754.00 |
| 20 | Anthem anthem hmo professional · fee schedule · outpatient | $831.75 | $831.75 | $831.75 – $831.75 |
| 21 | Anthem anthem ppo professional · fee schedule · outpatient | $831.75 | $831.75 | $831.75 – $831.75 |
| 22 | Anthem anthem hmo facility · fee schedule · outpatient | $870.95 | $870.95 | $870.95 – $870.95 |
| 23 | Anthem anthem ppo facility · fee schedule · outpatient | $870.95 | $870.95 | $870.95 – $870.95 |
| 24 | Aetna aetna hmo facility · other · outpatient | $1,650 | $1,650 | $1,650 – $1,650 |
| 25 | Aetna aetna ppo facility · other · outpatient | $1,650 | $1,650 | $1,650 – $1,650 |
Last updated: Mar 25, 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.