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
Lufkin, TX
See all hospitals reporting CPT 72193 →Price type
Piney Woods Healthcare System LP’s median price of $264 is 44% below the median hospital's median price ($469), higher than 26% 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, 32 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 | Tricare node tricare facility · fee schedule · outpatient | $167.39 | $167.39 | $167.39 – $167.39 |
| 2 | Humana node humana mcr adv facility · fee schedule · outpatient | $173.38 | $173.38 | $173.38 – $173.38 |
| 3 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $173.38 | $173.38 | $173.38 – $173.38 |
| 4 | Tricare node tricare usfhp facility · fee schedule · outpatient | $176.20 | $176.20 | $176.20 – $176.20 |
| 5 | Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient | $176.85 | $176.85 | $176.85 – $176.85 |
| 6 | Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient | $176.85 | $176.85 | $176.85 – $176.85 |
| 7 | Medicaid node tx medicaid facility · fee schedule · outpatient | $220.58 | $220.58 | $220.58 – $220.58 |
| 8 | UnitedHealthcare node uhc chip medicaid tx facility · fee schedule · outpatient | $220.58 | $220.58 | $220.58 – $220.58 |
| 9 | UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient | $220.58 | $220.58 | $220.58 – $220.58 |
| 10 | Molina node molina chip medicaid tx facility · fee schedule · outpatient | $231.61 | $231.61 | $231.61 – $231.61 |
| 11 | Molina node molina star medicaid tx facility · fee schedule · outpatient | $231.61 | $231.61 | $231.61 – $231.61 |
| 12 | Superior Healthplan node superior star kids medicaid tx facility · fee schedule · outpatient | $231.61 | $231.61 | $231.61 – $231.61 |
| 13 | UnitedHealthcare node uhc star plus medicaid tx facility · fee schedule · outpatient | $288.96 | $288.96 | $288.96 – $288.96 |
| 14 | UnitedHealthcare node uhc star kids medicaid tx facility · other · outpatient | $295.58 | $295.58 | $295.58 – $295.58 |
| 15 | Molina node molina star plus medicaid tx facility · fee schedule · outpatient | $303.41 | $303.41 | $303.41 – $303.41 |
| 16 | Superior Healthplan node superior star medicaid tx facility · fee schedule · outpatient | $324.25 | $324.25 | $324.25 – $324.25 |
| 17 | Blue Cross Blue Shield bcbs tx blue adv facility · other · outpatient | $329.79 | $329.79 | $329.79 – $329.79 |
| 18 | UnitedHealthcare uhc apa facility · fee schedule · outpatient | $638.51 | $638.51 | $638.51 – $638.51 |
| 19 | Blue Cross Blue Shield bcbs tx hmo facility · other · outpatient | $1,019 | $1,019 | $1,019 – $1,019 |
| 20 | Blue Cross Blue Shield bcbs tx ppo facility · other · outpatient | $1,049 | $1,049 | $1,049 – $1,049 |
| 21 | Blue Cross Blue Shield bcbs tx trad facility · other · outpatient | $1,049 | $1,049 | $1,049 – $1,049 |
| 22 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $4,169 | $4,169 | $4,169 – $4,169 |
| 23 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $4,249 | $4,249 | $4,249 – $4,249 |
| 24 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $5,079 | $5,079 | $5,079 – $5,079 |
| 25 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $5,079 | $5,079 | $5,079 – $5,079 |
Last updated: Apr 1, 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.