CT scan of pelvis with contrast dye at North Carolina Baptist Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC CT SCAN OF PELVIS CONTRAST

Winston Salem, NC

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How this price compares nationally

North Carolina Baptist Hospital’s median price of $1.0k is 118% above the median hospital's median price ($469), higher than 73% of the 2,597 hospitals reporting CPT 72193. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72193 at North Carolina Baptist Hospital

Negotiated rates from the hospital’s own file: 10 payers, 35 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	Aetna medicare advantage other · outpatient	$172.33	$172.33	$172.33 – $172.33
2	UnitedHealthcare medicare advantage other · outpatient	$172.33	$172.33	$172.33 – $172.33
3	Humana medicare advantage other · outpatient	$174.05	$174.05	$174.05 – $174.05
4	Medcost employee managed care percent of total billed charges · outpatientfrom % of charges	$579.55	$579.55	$579.55 – $579.55
5	Blue Cross Blue Shield blue local individual percent of total billed charges · outpatientfrom % of charges	$655.94	$655.94	$655.94 – $655.94
6	UnitedHealthcare medicaid managed care percent of total billed charges · outpatientfrom % of charges	$669.99	$669.99	$669.99 – $669.99
7	WellCare medicaid managed care percent of total billed charges · outpatientfrom % of charges	$669.99	$669.99	$669.99 – $669.99
8	Aetna ivl exchange percent of total billed charges · outpatientfrom % of charges	$693.70	$693.70	$693.70 – $693.70
9	Aetna ivl exchange percent of total billed charges · inpatientfrom % of charges	$775.66	$775.66	$775.66 – $775.66
10	Ambetter managed care percent of total billed charges · outpatientfrom % of charges	$790.29	$790.29	$790.29 – $790.29
11	Medcost ultra managed care percent of total billed charges · outpatientfrom % of charges	$845.90	$845.90	$845.90 – $845.90
12	Oscar managed care percent of total billed charges · outpatientfrom % of charges	$878.10	$878.10	$878.10 – $878.10
13	Medcost employee managed care percent of total billed charges · inpatientfrom % of charges	$895.66	$895.66	$895.66 – $895.66
14	Blue Cross Blue Shield hpn percent of total billed charges · outpatientfrom % of charges	$905.91	$905.91	$905.91 – $905.91
15	Medcost mbs managed care percent of total billed charges · inpatientfrom % of charges	$968.84	$968.84	$968.84 – $968.84
16	Medcost mbs managed care percent of total billed charges · outpatientfrom % of charges	$968.84	$968.84	$968.84 – $968.84
17	Blue Cross Blue Shield blue value percent of total billed charges · outpatientfrom % of charges	$1,024	$1,024	$1,024 – $1,024
18	Cigna managed care (adult) case rate · outpatient	$1,047	$1,047	$1,047 – $1,047
19	Cigna managed care (pediatrics) case rate · outpatient	$1,047	$1,047	$1,047 – $1,047
20	Oscar managed care percent of total billed charges · inpatientfrom % of charges	$1,054	$1,054	$1,054 – $1,054
21	Medcost ultra managed care percent of total billed charges · inpatientfrom % of charges	$1,060	$1,060	$1,060 – $1,060
22	Blue Cross Blue Shield hmo/ppo percent of total billed charges · outpatientfrom % of charges	$1,076	$1,076	$1,076 – $1,076
23	UnitedHealthcare iex individual managed care case rate · outpatient	$1,115	$1,115	$1,115 – $1,115
24	Aetna broad network percent of total billed charges · outpatientfrom % of charges	$1,174	$1,174	$1,174 – $1,174
25	UnitedHealthcare managed care case rate · outpatient	$1,178	$1,178	$1,178 – $1,178

Page 1 of 2 · 35 rates

Last updated: Oct 8, 2025

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