CT scan of pelvis with contrast dye at Mercy Hospital Carthage

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CT Pelvis W Cont

Carthage, MO

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How this price compares nationally

Mercy Hospital Carthage’s median price of $1.0k is 120% 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.

Payers reporting CPT 72193 at Mercy Hospital Carthage

Negotiated rates from the hospital’s own file: 16 payers, 38 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 hb cthg kancare healthy blue medicaid new 1.1.25 facility · fee schedule · outpatient	$101.17	$101.17	$101.17 – $101.17
2	Aetna hb cthg ok medicaid facility · fee schedule · outpatient	$158.53	$158.53	$158.53 – $158.53
3	Humana hb cthg ok medicaid facility · fee schedule · outpatient	$158.53	$158.53	$158.53 – $158.53
4	Medicaid hb cthg ok medicaid facility · fee schedule · outpatient	$158.53	$158.53	$158.53 – $158.53
5	Blue Cross Blue Shield hb cthg mo care/healthy blue facility · fee schedule · outpatient	$166.94	$166.94	$166.94 – $166.94
6	Medicaid hb cthg mo medicaid facility · fee schedule · outpatient	$212.46	$212.46	$212.46 – $212.46
7	UnitedHealthcare hb cthg uhc mo medicaid facility · fee schedule · outpatient	$233.71	$233.71	$233.71 – $233.71
8	Blue Cross Blue Shield hb cthg anthem traditional facility · fee schedule · outpatient	$646.74	$646.74	$646.74 – $646.74
9	Blue Cross Blue Shield hb cthg anthem pathways exchange facility · fee schedule · outpatient	$648.75	$648.75	$648.75 – $648.75
10	Anthem hb cthg anthem alliance facility · fee schedule · outpatient	$652.49	$652.49	$652.49 – $652.49
11	Blue Cross Blue Shield hb cthg anthem alliance facility · fee schedule · outpatient	$652.49	$652.49	$652.49 – $652.49
12	Blue Cross Blue Shield hb cthg anthem blue preferred facility · fee schedule · outpatient	$686.36	$686.36	$686.36 – $686.36
13	Aetna hb cthg managed medicare facility · percent of total billed charges · outpatientfrom % of charges	$868.33	$868.33	$868.33 – $868.33
14	Aetna hb cthg medicare facility · percent of total billed charges · outpatientfrom % of charges	$868.33	$868.33	$868.33 – $868.33
15	Blue Cross Blue Shield hb cthg managed medicare facility · percent of total billed charges · outpatientfrom % of charges	$868.33	$868.33	$868.33 – $868.33
16	Blue Cross Blue Shield hb cthg medicare facility · percent of total billed charges · outpatientfrom % of charges	$868.33	$868.33	$868.33 – $868.33
17	Cigna hb cthg managed medicare facility · percent of total billed charges · outpatientfrom % of charges	$868.33	$868.33	$868.33 – $868.33
18	Humana hb cthg managed medicare facility · percent of total billed charges · outpatientfrom % of charges	$868.33	$868.33	$868.33 – $868.33
19	Medica hb cthg managed medicare facility · percent of total billed charges · outpatientfrom % of charges	$868.33	$868.33	$868.33 – $868.33
20	Medicare hb cthg medicare facility · percent of total billed charges · outpatientfrom % of charges	$868.33	$868.33	$868.33 – $868.33
21	UnitedHealthcare hb cthg medicare facility · percent of total billed charges · outpatientfrom % of charges	$868.33	$868.33	$868.33 – $868.33
22	UnitedHealthcare hb cthg uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$868.33	$868.33	$868.33 – $868.33
23	Tricare hb cthg tricare facility · percent of total billed charges · outpatientfrom % of charges	$871.58	$871.58	$871.58 – $871.58
24	WellCare hb cthg wellcare medicare 103% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$894.25	$894.25	$894.25 – $894.25
25	Devoted hb cthg devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$903.10	$903.10	$903.10 – $903.10

Page 1 of 2 · 38 rates

Last updated: Jun 9, 2026

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