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
Grand Rapids, MI
See all hospitals reporting CPT 72193 →Price type
Mercy Health Saint Marys’s median price of $909 is 94% above the median hospital's median price ($469), higher than 69% 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: 22 payers, 30 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 | Blue Cross Blue Shield blue cross complete medicaid facility · other · both | $97.97 | $97.97 | $97.97 – $97.97 |
| 2 | Molina molina medicaid facility · other · both | $99.89 | $99.89 | $99.89 – $99.89 |
| 3 | Aetna aetna medicare advantage facility · other · both | $171.27 | $171.27 | $171.27 – $171.27 |
| 4 | Blue Cross Blue Shield bcbs medicare advantage facility · other · both | $171.27 | $171.27 | $171.27 – $171.27 |
| 5 | Molina molina medicare advantage facility · other · both | $171.27 | $171.27 | $171.27 – $171.27 |
| 6 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $180.01 | $180.01 | $180.01 – $180.01 |
| 7 | Aetna aetna ppo facility · fee schedule · both | $213.65 | $213.65 | $213.65 – $213.65 |
| 8 | Medical Mutual aetna ppo facility · fee schedule · both | $213.65 | $213.65 | $213.65 – $213.65 |
| 9 | Oscar oscar epo facility · other · both | $223.71 | $223.71 | $223.71 – $223.71 |
| 10 | Molina molina hmo marketplace facility · other · both | $227.20 | $227.20 | $227.20 – $227.20 |
| 11 | Anthem bcbs trad / trust facility · fee schedule · both | $280.68 | $280.68 | $280.68 – $280.68 |
| 12 | Blue Cross Blue Shield bcbs trad / trust facility · fee schedule · both | $280.68 | $280.68 | $280.68 – $280.68 |
| 13 | Carefirst bcbs trad / trust facility · fee schedule · both | $280.68 | $280.68 | $280.68 – $280.68 |
| 14 | Excellus bcbs trad / trust facility · fee schedule · both | $280.68 | $280.68 | $280.68 – $280.68 |
| 15 | Highmark bcbs trad / trust facility · fee schedule · both | $280.68 | $280.68 | $280.68 – $280.68 |
| 16 | Kaiser bcbs trad / trust facility · fee schedule · both | $280.68 | $280.68 | $280.68 – $280.68 |
| 17 | Premera bcbs trad / trust facility · fee schedule · both | $280.68 | $280.68 | $280.68 – $280.68 |
| 18 | Regence bcbs trad / trust facility · fee schedule · both | $280.68 | $280.68 | $280.68 – $280.68 |
| 19 | Wellmark bcbs trad / trust facility · fee schedule · both | $280.68 | $280.68 | $280.68 – $280.68 |
| 20 | Caresource hap hmo facility · percent of total billed charges · bothfrom % of charges | $1,074 | $1,074 | $1,074 – $1,074 |
| 21 | Cigna priority health cigna ppo facility · percent of total billed charges · bothfrom % of charges | $1,199 | $1,199 | $1,199 – $1,199 |
| 22 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $1,200 | $1,200 | $1,200 – $1,200 |
| 23 | Phcs multiplan facility · percent of total billed charges · bothfrom % of charges | $1,200 | $1,200 | $1,200 – $1,200 |
| 24 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $1,249 | $1,249 | $1,249 – $1,249 |
| 25 | Humana cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $1,251 | $1,251 | $1,251 – $1,251 |
Last updated: Mar 31, 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.