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
CT Pelvis W Cont
Booneville, AR
See all hospitals reporting CPT 72193 →Price type
Mercy Hospital Booneville’s median price of $703 is 50% above the median hospital's median price ($469), higher than 61% 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: 17 payers, 25 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 hb bnvar ok managed medicaid facility · fee schedule · outpatient | $158.53 | $158.53 | $158.53 – $158.53 |
| 2 | Humana hb bnvar ok managed medicaid facility · fee schedule · outpatient | $158.53 | $158.53 | $158.53 – $158.53 |
| 3 | Medicaid hb bnvar ok medicaid facility · fee schedule · outpatient | $158.53 | $158.53 | $158.53 – $158.53 |
| 4 | Anthem hb bnvar blue cross facility · fee schedule · outpatient | $174.94 | $174.94 | $174.94 – $174.94 |
| 5 | Blue Cross Blue Shield hb bnvar blue cross facility · fee schedule · outpatient | $174.94 | $174.94 | $174.94 – $174.94 |
| 6 | Medicaid hb bnvar ark medicaid facility · fee schedule · outpatient | $254.00 | $254.00 | $254.00 – $254.00 |
| 7 | Caresource hb bnvar caresource medicaid facility · fee schedule · outpatient | $259.08 | $259.08 | $259.08 – $259.08 |
| 8 | Optum hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · fee schedule · outpatient | $410.00 | $410.00 | $410.00 – $410.00 |
| 9 | UnitedHealthcare hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · fee schedule · outpatient | $410.00 | $410.00 | $410.00 – $410.00 |
| 10 | Aetna hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $703.08 | $703.08 | $703.08 – $703.08 |
| 11 | Blue Cross Blue Shield hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $703.08 | $703.08 | $703.08 – $703.08 |
| 12 | First Health hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $703.08 | $703.08 | $703.08 – $703.08 |
| 13 | Humana hb bnvar humana mcr facility · percent of total billed charges · outpatientfrom % of charges | $703.08 | $703.08 | $703.08 – $703.08 |
| 14 | Humana hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $703.08 | $703.08 | $703.08 – $703.08 |
| 15 | Medica hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $703.08 | $703.08 | $703.08 – $703.08 |
| 16 | Medicare hb bnvar medicare facility · percent of total billed charges · outpatientfrom % of charges | $703.08 | $703.08 | $703.08 – $703.08 |
| 17 | UnitedHealthcare hb bnvar uhc medicare 100% facility · percent of total billed charges · outpatientfrom % of charges | $703.08 | $703.08 | $703.08 – $703.08 |
| 18 | Tricare hb bnvar tricare facility · percent of total billed charges · outpatientfrom % of charges | $705.77 | $705.77 | $705.77 – $705.77 |
| 19 | WellCare hb bnvar novasys mcr 103% facility · percent of total billed charges · outpatientfrom % of charges | $724.11 | $724.11 | $724.11 – $724.11 |
| 20 | Devoted hb bnvar devoted health mcr facility · percent of total billed charges · outpatientfrom % of charges | $731.27 | $731.27 | $731.27 – $731.27 |
| 21 | Cigna hb bnvar healthspring 105% mcr facility · percent of total billed charges · outpatientfrom % of charges | $738.20 | $738.20 | $738.20 – $738.20 |
| 22 | Ambetter hb bnvar novasys ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $969.93 | $969.93 | $969.93 – $969.93 |
| 23 | Aetna hb wldar,ozkar,prsar,bnvr conventry/aetna facility · percent of total billed charges · outpatientfrom % of charges | $1,553 | $1,553 | $1,553 – $1,553 |
| 24 | MultiPlan hb bnvar multiplan facility · percent of total billed charges · outpatientfrom % of charges | $1,911 | $1,911 | $1,911 – $1,911 |
| 25 | Cigna hb bnvar cigna facility · percent of total billed charges · outpatientfrom % of charges | $2,031 | $2,031 | $2,031 – $2,031 |
Last updated: Jun 8, 2026
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