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/WO Cont Pf
Perryville, MO
See all hospitals reporting CPT 72194 →Price type
Mercy Perry’s median price of $295 is 40% below the median hospital's median price ($488), higher than 31% of the 2,589 hospitals reporting CPT 72194. 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 | Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient | $212 | $212 | — | — | — | $212 – $212 |
| 2 | Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient | $212 | $212 | — | — | — | $212 – $212 |
| 3 | UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 4 | Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $269 | $269 | $217 | 81% | — | $52 – $487 |
| 5 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $546 | $546 | $441 | 81% | — | $106 – $987 |
| 6 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $546 | $546 | $441 | 81% | — | $106 – $987 |
| 7 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $546 | $546 | $441 | 81% | — | $106 – $987 |
| 8 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $546 | $546 | $441 | 81% | 2–20 | $106 – $987 |
| 9 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $546 | $546 | $441 | 81% | — | $106 – $987 |
| 10 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $546 | $546 | $441 | 81% | — | $106 – $987 |
| 11 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $557 | $557 | $449 | 81% | — | $108 – $1.0k |
| 12 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $568 | $568 | $458 | 81% | — | $110 – $1.0k |
| 13 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $568 | $568 | $458 | 81% | — | $110 – $1.0k |
| 14 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $651 | $651 | $525 | 81% | — | $126 – $1.2k |
| 15 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $754 | $754 | $609 | 81% | — | $146 – $1.4k |
| 16 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $851 | $851 | $687 | 81% | — | $164 – $1.5k |
| 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 | $853 | $853 | $688 | 81% | — | $165 – $1.5k |
| 18 | UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | $826 | 81% | — | $198 – $1.8k |
| 19 | Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $898 | 81% | — | $215 – $2.0k |
| 20 | Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $898 | 81% | — | $215 – $2.0k |
| 21 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $949 | 81% | — | $227 – $2.1k |
| 22 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $949 | 81% | — | $227 – $2.1k |
| 23 | Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $956 | 81% | — | $229 – $2.1k |
| 24 | UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $956 | 81% | 2–20 | $229 – $2.1k |
| 25 | Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | $1.0k | 81% | — | $243 – $2.3k |
Last updated: Mar 12, 2026
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