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 Pf
Troy, MO
See all hospitals reporting CPT 72193 →Price type
Mercy Hospital Lincoln’s median price of $262 is 44% below the median hospital's median price ($469), higher than 26% 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, 39 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 | Molina hb wash jefn linc samc molina healthchoice of il medicaid new 040125 facility · percent of total billed charges · outpatientfrom % of charges | $108.91 | $108.91 | $20.02 – $197.80 |
| 2 | Medicaid hb linc mo medicaid facility · fee schedule · outpatient | $212.46 | $212.46 | $212.46 – $212.46 |
| 3 | UnitedHealthcare hb linc uhc managed medicaid facility · fee schedule · outpatient | $223.94 | $223.94 | $223.94 – $223.94 |
| 4 | First Health hb linc phcs primary facility · percent of total billed charges · outpatientfrom % of charges | $231.00 | $231.00 | $231.00 – $231.00 |
| 5 | MultiPlan hb linc phcs primary facility · percent of total billed charges · outpatientfrom % of charges | $231.00 | $231.00 | $231.00 – $231.00 |
| 6 | Blue Cross Blue Shield hb linc missouri care health plan/healthy blue facility · fee schedule · outpatient | $233.71 | $233.71 | $233.71 – $233.71 |
| 7 | Aetna hb wash jefn linc samc aetna better health of il medicaid new 040125 facility · percent of total billed charges · outpatientfrom % of charges | $251.33 | $251.33 | $46.20 – $456.45 |
| 8 | Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $251.33 | $251.33 | $46.20 – $456.45 |
| 9 | Tricare hb linc tricare - healthnet west facility · percent of total billed charges · outpatientfrom % of charges | $358.59 | $358.59 | $65.92 – $651.26 |
| 10 | Blue Cross Blue Shield hb linc medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $394.41 | $394.41 | $72.50 – $716.32 |
| 11 | Humana hb linc medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $394.41 | $394.41 | $72.50 – $716.32 |
| 12 | Medica hb linc medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $394.41 | $394.41 | $72.50 – $716.32 |
| 13 | Medicare hb linc medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $394.41 | $394.41 | $72.50 – $716.32 |
| 14 | UnitedHealthcare hb linc medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $394.41 | $394.41 | $72.50 – $716.32 |
| 15 | WellCare hb linc medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $394.41 | $394.41 | $72.50 – $716.32 |
| 16 | Aetna hb linc aetna/coventry mcr w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $402.12 | $402.12 | $73.92 – $730.32 |
| 17 | UnitedHealthcare hb linc uhc mcr w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $402.12 | $402.12 | $73.92 – $730.32 |
| 18 | WellCare hb linc wellcare harmony mcr 103% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $406.31 | $406.31 | $74.69 – $737.93 |
| 19 | Devoted hb linc devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $410.33 | $410.33 | $75.43 – $745.23 |
| 20 | Cigna hb linc cigna managed medicare 100% w/seq new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $420.55 | $420.55 | $77.31 – $763.79 |
| 21 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $703.71 | $703.71 | $129.36 – $1,278 |
| 22 | Ambetter hb linc centene exchange/ambetter eff 090118 facility · percent of total billed charges · outpatientfrom % of charges | $769.06 | $769.06 | $141.37 – $1,397 |
| 23 | Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges | $795.87 | $795.87 | $146.30 – $1,445 |
| 24 | UnitedHealthcare hb linc uhc core new 100121 facility · percent of total billed charges · outpatientfrom % of charges | $955.04 | $955.04 | $175.56 – $1,735 |
| 25 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $1,097 | $1,097 | $201.74 – $1,993 |
Last updated: Jun 10, 2026
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