CT scan of pelvis with contrast dye at Mercy Hospital

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/dye

Portland, ME

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How this price compares nationally

Mercy Hospital’s median price of $192 is 59% below the median hospital's median price ($469), higher than 11% 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

Negotiated rates from the hospital’s own file: 5 payers, 28 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	Anthem mcr advantage professional · fee schedule · outpatient	$112.31	$112.31	$52.33 – $172.28
2	UnitedHealthcare mcr advantage professional · fee schedule · outpatient	$114.56	$114.56	$53.38 – $175.73
3	WellCare mcr advantage professional · fee schedule · outpatient	$114.56	$114.56	$53.38 – $175.73
4	Aetna mcr advantage professional · fee schedule · outpatient	$136.23	$136.23	$66.23 – $206.22
5	Anthem mcr advantage facility · case rate · outpatient	$173.85	$173.85	$173.85 – $173.85
6	Aetna mcr advantage facility · case rate · outpatient	$177.33	$177.33	$177.33 – $177.33
7	UnitedHealthcare mcr advantage facility · case rate · outpatient	$177.33	$177.33	$177.33 – $177.33
8	WellCare mcr advantage facility · case rate · outpatient	$177.33	$177.33	$177.33 – $177.33
9	Aetna commercial professional · fee schedule · outpatient	$180.65	$180.65	$89.22 – $272.07
10	UnitedHealthcare commercial professional · fee schedule · outpatient	$185.21	$185.21	$100.24 – $270.17
11	Anthem commercial professional · fee schedule · outpatient	$216.50	$216.50	$102.28 – $330.71
12	Anthem enhanced pathways professional · fee schedule · outpatient	$216.50	$216.50	$102.28 – $330.71
13	Cigna commercial professional · fee schedule · outpatient	$272.11	$272.11	$121.27 – $422.94
14	Anthem enhanced pathways facility · case rate · outpatient	$639.27	$639.27	$639.27 – $639.27
15	Aetna commercial facility · fee schedule · outpatient	$714.96	$714.96	$714.96 – $714.96
16	Aetna mcr advantage facility · percent of total billed charges · outpatientfrom % of charges	$780.17	$780.17	$780.17 – $780.17
17	Anthem commercial facility · case rate · outpatient	$819.58	$819.58	$819.58 – $819.58
18	Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges	$949.65	$949.65	$949.65 – $949.65
19	Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges	$949.65	$949.65	$949.65 – $949.65
20	Anthem enhanced pathways facility · percent of total billed charges · inpatientfrom % of charges	$949.65	$949.65	$949.65 – $949.65
21	Anthem enhanced pathways facility · percent of total billed charges · outpatientfrom % of charges	$949.65	$949.65	$949.65 – $949.65
22	Cigna commercial facility · case rate · outpatient	$964.26	$964.26	$964.26 – $964.26
23	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$1,024	$1,024	$1,024 – $1,024
24	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,047	$1,047	$1,047 – $1,047
25	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$1,064	$1,064	$1,064 – $1,064

Page 1 of 2 · 28 rates

Last updated: Apr 15, 2026

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