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 PELVIS W/ CONTRAST
Toledo, OH
See all hospitals reporting CPT 72193 →Price type
Nationwide Children's Hospital Toledo, Llc’s median price of $449 is 4% below the median hospital's median price ($469), higher than 49% 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: 8 payers, 23 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 | Caresource just4me/marketplace professional · fee schedule · outpatient | $52.30 | $52.30 | $52.30 – $52.30 |
| 2 | Anthem managed medicaid professional · fee schedule · outpatient | $54.91 | $54.91 | $54.91 – $54.91 |
| 3 | Anthem all products professional · fee schedule · outpatient | $78.73 | $78.73 | $78.73 – $78.73 |
| 4 | Aetna all products professional · fee schedule · outpatient | $97.54 | $97.54 | $97.54 – $97.54 |
| 5 | UnitedHealthcare all products professional · percent of total billed charges · outpatientfrom % of charges | $132.80 | $132.80 | $132.80 – $132.80 |
| 6 | Caresource medicare advantage_dsnp facility · fee schedule · outpatient | $179.20 | $179.20 | $179.20 – $179.20 |
| 7 | Caresource my care ohio facility · fee schedule · outpatient | $179.20 | $179.20 | $179.20 – $179.20 |
| 8 | Molina medicare advantage_dsnp facility · fee schedule · outpatient | $179.20 | $179.20 | $179.20 – $179.20 |
| 9 | Molina my care ohio facility · fee schedule · outpatient | $179.20 | $179.20 | $179.20 – $179.20 |
| 10 | Caresource just4me/marketplace facility · fee schedule · outpatient | $188.16 | $188.16 | $188.16 – $188.16 |
| 11 | Molina marketplace facility · fee schedule · outpatient | $213.62 | $213.62 | $213.62 – $213.62 |
| 12 | Molina managed medicaid - non-cap facility · other · outpatient | $445.16 | $445.16 | $445.16 – $445.16 |
| 13 | UnitedHealthcare managed medicaid facility · other · outpatient | $445.16 | $445.16 | $445.16 – $445.16 |
| 14 | Cigna all products facility · fee schedule · outpatient | $500.85 | $447.21 | $169.98 – $670.80 |
| 15 | Anthem managed medicaid - non-cap facility · other · outpatient | $449.44 | $449.44 | $449.44 – $449.44 |
| 16 | Humana managed medicaid facility · other · outpatient | $449.44 | $449.44 | $449.44 – $449.44 |
| 17 | Anthem enhanced choice / pathway facility · case rate · outpatient | $954.00 | $954.00 | $954.00 – $954.00 |
| 18 | Anthem blue access / blue access ohi/ohii facility · case rate · outpatient | $1,084 | $1,084 | $1,084 – $1,084 |
| 19 | Anthem blue preferred facility · case rate · outpatient | $1,084 | $1,084 | $1,084 – $1,084 |
| 20 | Aetna all products facility · percent of total billed charges · outpatientfrom % of charges | $1,612 | $1,612 | $1,612 – $1,612 |
| 21 | UnitedHealthcare all products facility · percent of total billed charges · outpatientfrom % of charges | $2,114 | $2,114 | $2,114 – $2,114 |
| 22 | Anthem blue traditional facility · percent of total billed charges · outpatientfrom % of charges | $2,135 | $2,135 | $2,135 – $2,135 |
| 23 | First Health all products facility · percent of total billed charges · outpatientfrom % of charges | $3,223 | $3,223 | $3,223 – $3,223 |
Last updated: Apr 1, 2026
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