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
View, MO
See all hospitals reporting CPT 72193 →Price type
Mercy St. Francis Hospital’s median price of $2.3k is 380% above the median hospital's median price ($469), higher than 91% 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, 31 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 mtnv mo care/healthy blue facility · fee schedule · outpatient | $166.94 | $166.94 | $166.94 – $166.94 |
| 2 | Blue Cross Blue Shield hb casv mtnv ar bc facility · fee schedule · outpatient | $174.94 | $174.94 | $174.94 – $174.94 |
| 3 | Medicaid hb mtnv mo medicaid facility · fee schedule · outpatient | $212.46 | $212.46 | $212.46 – $212.46 |
| 4 | UnitedHealthcare hb mtnv uhc mo medicaid facility · fee schedule · outpatient | $233.71 | $233.71 | $233.71 – $233.71 |
| 5 | UnitedHealthcare hb mtnv uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $688.15 | $688.15 | $688.15 – $688.15 |
| 6 | Aetna hb mtnv aetna mcr 100% facility · percent of total billed charges · outpatientfrom % of charges | $689.15 | $689.15 | $689.15 – $689.15 |
| 7 | Blue Cross Blue Shield hb mtnv managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $689.15 | $689.15 | $689.15 – $689.15 |
| 8 | Blue Cross Blue Shield hb mtnv medicare facility · percent of total billed charges · outpatientfrom % of charges | $689.15 | $689.15 | $689.15 – $689.15 |
| 9 | Cigna hb mtnv managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $689.15 | $689.15 | $689.15 – $689.15 |
| 10 | Humana hb mtnv managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $689.15 | $689.15 | $689.15 – $689.15 |
| 11 | Medica hb mtnv managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $689.15 | $689.15 | $689.15 – $689.15 |
| 12 | Medicare hb mtnv medicare facility · percent of total billed charges · outpatientfrom % of charges | $689.15 | $689.15 | $689.15 – $689.15 |
| 13 | WellCare hb mtnv wellcare medicare 103% facility · percent of total billed charges · outpatientfrom % of charges | $708.95 | $708.95 | $708.95 – $708.95 |
| 14 | Devoted hb mtnv devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $715.96 | $715.96 | $715.96 – $715.96 |
| 15 | Tricare hb mtnv tricare facility · percent of total billed charges · outpatientfrom % of charges | $852.21 | $852.21 | $852.21 – $852.21 |
| 16 | Ambetter hb mtnv ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $1,301 | $1,301 | $1,301 – $1,301 |
| 17 | Blue Cross Blue Shield hb mtnv anthem pathway exchange facility · percent of total billed charges · outpatientfrom % of charges | $2,205 | $2,205 | $2,205 – $2,205 |
| 18 | Aetna hb mtnv aetna facility · percent of total billed charges · outpatientfrom % of charges | $2,230 | $2,230 | $2,230 – $2,230 |
| 19 | Humana hb mtnv humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,255 | $2,255 | $2,255 – $2,255 |
| 20 | Blue Cross Blue Shield hb mtnv anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $2,280 | $2,280 | $2,280 – $2,280 |
| 21 | Optum hb mtnv uhc facility · percent of total billed charges · outpatientfrom % of charges | $2,331 | $2,331 | $2,331 – $2,331 |
| 22 | UnitedHealthcare hb mtnv uhc facility · percent of total billed charges · outpatientfrom % of charges | $2,331 | $2,331 | $2,331 – $2,331 |
| 23 | UnitedHealthcare hb mtnv uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $2,331 | $2,331 | $2,331 – $2,331 |
| 24 | Medica hb mtnv medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $2,368 | $2,368 | $2,368 – $2,368 |
| 25 | Blue Cross Blue Shield hb mtnv anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $2,381 | $2,381 | $2,381 – $2,381 |
Last updated: Jun 10, 2026
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