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
HC CT Scan of Pelvis Contrast - CT Pelvis W Contrast
MEMPHIS, TN
See all hospitals reporting CPT 72193 →Price type
Methodist University Hospital’s median price of $163 is 65% below the median hospital's median price ($469), higher than 4% 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: 10 payers, 33 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 | UnitedHealthcare hb uhc mschips ob & mlh-tn adult hospitals contract other · both | $50.00 | $50.00 | $50.00 – $50.00 |
| 2 | Molina hb molina hc of ms - mscan mlh-tn contract fee schedule · both | $136.13 | $136.13 | $136.13 – $136.13 |
| 3 | UnitedHealthcare hb uhc ms can mlh-ms-ob contract fee schedule · both | $136.13 | $136.13 | $136.13 – $136.13 |
| 4 | Blue Cross Blue Shield hb bluecare adult contract fee schedule · both | $150.35 | $150.35 | $150.35 – $150.35 |
| 5 | Optum hb medicaid tn - uhc tenncare (americhoice) - muh-mnh-msh-mgh-mhm-mci fee schedule · both | $153.90 | $153.90 | $153.90 – $153.90 |
| 6 | UnitedHealthcare hb medicaid tn - uhc tenncare (americhoice) - muh-mnh-msh-mgh-mhm-mci fee schedule · both | $153.90 | $153.90 | $153.90 – $153.90 |
| 7 | Blue Cross Blue Shield hb medicaid tn - bcbs tenncare select - muh-mnh-msh-mgh-mhm fee schedule · both | $156.75 | $156.75 | $156.75 – $156.75 |
| 8 | Blue Cross Blue Shield hb medicare advantage / managed care - tn contract other · both | $163.01 | $163.01 | $163.01 – $163.01 |
| 9 | Humana hb medicare advantage / managed care - tn contract other · both | $163.01 | $163.01 | $163.01 – $163.01 |
| 10 | Medicare hb medicare-tn contract other · both | $163.01 | $163.01 | $163.01 – $163.01 |
| 11 | Optum hb medicare advantage / managed care - tn contract other · both | $163.01 | $163.01 | $163.01 – $163.01 |
| 12 | UnitedHealthcare hb medicare advantage / managed care - tn contract other · both | $163.01 | $163.01 | $163.01 – $163.01 |
| 13 | UnitedHealthcare hb va - tn contract other · both | $163.01 | $163.01 | $163.01 – $163.01 |
| 14 | WellCare hb medicare advantage / managed care - tn contract other · both | $163.01 | $163.01 | $163.01 – $163.01 |
| 15 | WellCare hb medicare advantage wellcare/wellpoint - tn contract other · both | $163.01 | $163.01 | $163.01 – $163.01 |
| 16 | Tricare hb tricare - tn contract other · both | $164.36 | $164.36 | $164.36 – $164.36 |
| 17 | Devoted hb medicare advantage devoted - tn contract other · both | $167.90 | $167.90 | $167.90 – $167.90 |
| 18 | Molina hb molina mschips - mlh-tn contract fee schedule · both | $170.16 | $170.16 | $170.16 – $170.16 |
| 19 | Cigna hb cigna hmo - germantown-north-south-olive branch-cancer inst-university case rate · both | $215.57 | $215.57 | $215.57 – $215.57 |
| 20 | Cigna hb cigna ifp - germantown-north-south-olive branch-cancer inst-university case rate · both | $236.57 | $236.57 | $236.57 – $236.57 |
| 21 | Cigna hb cigna localplus - germantown-north-south-olive branch-cancer inst-university case rate · both | $249.71 | $249.71 | $249.71 – $249.71 |
| 22 | UnitedHealthcare hb xr tn uhc exchange fee schedule · both | $257.54 | $257.54 | $257.54 – $257.54 |
| 23 | Cigna hb cigna oap - germantown-north-south-olive branch-cancer inst-university case rate · both | $275.98 | $275.98 | $275.98 – $275.98 |
| 24 | Cigna hb cigna epo adult locations per diem · both | $285.41 | $285.41 | $285.41 – $285.41 |
| 25 | UnitedHealthcare hb uhc fed ex all payer (choice) fee schedule · both | $291.55 | $291.55 | $291.55 – $291.55 |
Last updated: Mar 19, 2026
See CT scan of pelvis with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.