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/ IV CONTRAST (NO ORAL CONT)
Charlevoix, MI
See all hospitals reporting CPT 72193 →Price type
Munson Healthcare Charlevoix Hospital’s median price of $779 is 66% above the median hospital's median price ($469), higher than 64% 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: 6 payers, 22 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 managed medicaid professional · fee schedule · both | $34.72 | $34.72 | $34.72 – $34.72 |
| 2 | Blue Cross Blue Shield managed medicaid professional · fee schedule · both | $35.41 | $35.41 | $35.41 – $35.41 |
| 3 | Blue Cross Blue Shield managed medicaid facility · fee schedule · outpatient | $123.78 | $123.78 | $123.78 – $123.78 |
| 4 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $123.78 | $123.78 | $123.78 – $123.78 |
| 5 | UnitedHealthcare medicare advantage professional · fee schedule · both | $155.46 | $138.17 | $51.80 – $207.26 |
| 6 | Aetna medicare advantage professional · fee schedule · both | $157.50 | $140.05 | $52.58 – $210.08 |
| 7 | Molina medicare advantage professional · fee schedule · both | $157.50 | $140.05 | $52.58 – $210.08 |
| 8 | UnitedHealthcare commercial professional · fee schedule · both | $180.19 | $180.19 | $62.66 – $297.72 |
| 9 | Cigna commercial professional · fee schedule · both | $264.42 | $230.79 | $81.77 – $346.19 |
| 10 | Blue Cross Blue Shield ppo/traditional/hmo/blue care network commercial professional · fee schedule · both | $280.68 | $244.99 | $86.81 – $367.49 |
| 11 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $610.06 | $610.06 | $610.06 – $610.06 |
| 12 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $622.26 | $622.26 | $622.26 – $622.26 |
| 13 | Molina medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $658.86 | $658.86 | $658.86 – $658.86 |
| 14 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,038 | $1,038 | $1,038 – $1,038 |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,128 | $1,128 | $1,128 – $1,128 |
| 16 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,128 | $1,128 | $1,128 – $1,128 |
| 17 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,172 | $1,172 | $1,172 – $1,172 |
| 18 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,172 | $1,172 | $1,172 – $1,172 |
| 19 | Blue Cross Blue Shield ppo/traditional/hmo/blue care network commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,199 | $1,199 | $1,199 – $1,199 |
| 20 | Blue Cross Blue Shield ppo/traditional/hmo/blue care network commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,199 | $1,199 | $1,199 – $1,199 |
| 21 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,298 | $1,298 | $1,298 – $1,298 |
| 22 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,298 | $1,298 | $1,298 – $1,298 |
Last updated: Apr 17, 2026
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