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 CONTRAST
Cheyenne, WY
See all hospitals reporting CPT 72193 →Price type
Memorial Hospital of Laramie County’s median price of $1.0k is 123% above the median hospital's median price ($469), higher than 73% 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: 5 payers, 17 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 | UnitedHealthcare medicare advantage fee schedule · both | $175.61 | $153.00 | $53.89 – $229.51 |
| 2 | Humana medicare advantage fee schedule · both | $180.78 | $157.50 | $55.47 – $236.26 |
| 3 | UnitedHealthcare medicare advantage case rate · outpatient | $182.78 | $182.78 | $182.78 – $182.78 |
| 4 | Humana medicare advantage case rate · outpatient | $188.16 | $188.16 | $188.16 – $188.16 |
| 5 | Cigna pos/ppo fee schedule · both | $257.76 | $291.34 | $134.33 – $515.51 |
| 6 | Bcbs Wy blue select ppo fee schedule · both | $484.00 | $418.00 | $143.00 – $627.00 |
| 7 | Bcbs Wy ppo fee schedule · both | $484.00 | $418.00 | $143.00 – $627.00 |
| 8 | UnitedHealthcare hmo/pos/ppo fee schedule · both | $694.10 | $582.26 | $179.29 – $873.39 |
| 9 | Aetna pos/ppo percent of total billed charges · bothfrom % of charges | $1,046 | $1,046 | $1,046 – $1,046 |
| 10 | Bcbs Wy blue select ppo percent of total billed charges · outpatientfrom % of charges | $3,021 | $3,021 | $3,021 – $3,021 |
| 11 | Bcbs Wy ppo percent of total billed charges · outpatientfrom % of charges | $3,104 | $3,104 | $3,104 – $3,104 |
| 12 | Cigna pos/ppo percent of total billed charges · inpatientfrom % of charges | $3,236 | $3,236 | $3,236 – $3,236 |
| 13 | UnitedHealthcare hmo/pos/ppo percent of total billed charges · inpatientfrom % of charges | $3,298 | $3,298 | $3,298 – $3,298 |
| 14 | UnitedHealthcare hmo/pos/ppo percent of total billed charges · outpatientfrom % of charges | $3,373 | $3,373 | $3,373 – $3,373 |
| 15 | Cigna pos/ppo percent of total billed charges · outpatientfrom % of charges | $3,443 | $3,443 | $3,443 – $3,443 |
| 16 | Aetna pos/ppo percent of total billed charges · inpatientfrom % of charges | $3,642 | $3,642 | $3,642 – $3,642 |
| 17 | Aetna pos/ppo percent of total billed charges · outpatientfrom % of charges | $3,642 | $3,642 | $3,642 – $3,642 |
Last updated: Mar 25, 2026
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