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
Perryville, MO
See all hospitals reporting CPT 72193 →Price type
Mercy Perry’s median price of $283 is 40% below the median hospital's median price ($469), higher than 30% 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: 16 payers, 29 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 | Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $207.08 | $207.08 | $49.95 – $364.20 |
| 2 | Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient | $212.46 | $212.46 | $212.46 – $212.46 |
| 3 | Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient | $212.46 | $212.46 | $212.46 – $212.46 |
| 4 | UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient | $233.71 | $233.71 | $233.71 – $233.71 |
| 5 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $419.81 | $419.81 | $101.27 – $738.35 |
| 6 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $419.81 | $419.81 | $101.27 – $738.35 |
| 7 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $419.81 | $419.81 | $101.27 – $738.35 |
| 8 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $419.81 | $419.81 | $101.27 – $738.35 |
| 9 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $419.81 | $419.81 | $101.27 – $738.35 |
| 10 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $419.81 | $419.81 | $101.27 – $738.35 |
| 11 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $427.96 | $427.96 | $103.23 – $752.68 |
| 12 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $436.51 | $436.51 | $105.29 – $767.73 |
| 13 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $436.66 | $436.66 | $105.33 – $767.98 |
| 14 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $500.42 | $500.42 | $120.71 – $880.12 |
| 15 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $579.81 | $579.81 | $139.86 – $1,020 |
| 16 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $654.36 | $654.36 | $157.84 – $1,151 |
| 17 | Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges | $655.74 | $655.74 | $158.18 – $1,153 |
| 18 | UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges | $786.89 | $786.89 | $189.81 – $1,384 |
| 19 | Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $855.91 | $855.91 | $206.46 – $1,505 |
| 20 | Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges | $855.91 | $855.91 | $206.46 – $1,505 |
| 21 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $904.23 | $904.23 | $218.12 – $1,590 |
| 22 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $904.23 | $904.23 | $218.12 – $1,590 |
| 23 | Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $911.13 | $911.13 | $219.78 – $1,602 |
| 24 | UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $911.13 | $911.13 | $219.78 – $1,602 |
| 25 | Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $966.35 | $966.35 | $233.10 – $1,700 |
Last updated: Mar 12, 2026
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