CT scan of pelvis with contrast dye at Porter Hospital Inc

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

CHG CT PELVIS W/CONTRAST MATERIAL

Middlebury, VT

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How this price compares nationally

Porter Hospital Inc’s median price of $164 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.

Payers reporting CPT 72193 at Porter Hospital Inc

Negotiated rates from the hospital’s own file: 7 payers, 21 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/essential plans professional · fee schedule · both	$36.12	$36.12	$36.12 – $36.12
2	Humana tricare professional · fee schedule · both	$49.26	$49.26	$49.26 – $49.26
3	Aetna medicare advantage professional · fee schedule · both	$51.85	$51.85	$51.85 – $51.85
4	UnitedHealthcare medicare advantage professional · fee schedule · both	$51.85	$51.85	$51.85 – $51.85
5	Bcbs Vt medicare advantage professional · fee schedule · both	$59.63	$59.63	$59.63 – $59.63
6	Bcbs Vt indemnity/the vermont health plan/vermont health partnership professional · fee schedule · both	$74.04	$74.04	$74.04 – $74.04
7	Cigna commercial professional · fee schedule · both	$75.52	$75.52	$75.52 – $75.52
8	UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both	$106.00	$106.00	$97.41 – $114.59
9	UnitedHealthcare commercial professional · fee schedule · both	$119.60	$119.60	$119.60 – $119.60
10	Humana tricare facility · fee schedule · outpatient	$169.12	$169.12	$169.12 – $169.12
11	Blue Cross Blue Shield hmo professional · percent of total billed charges · bothfrom % of charges	$222.48	$222.48	$222.48 – $222.48
12	MultiPlan group health professional · percent of total billed charges · bothfrom % of charges	$273.60	$273.60	$273.60 – $273.60
13	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$1,249	$1,249	$1,249 – $1,249
14	UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$1,249	$1,249	$1,249 – $1,249
15	Bcbs Vt medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$1,276	$1,276	$1,276 – $1,276
16	Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges	$2,073	$2,073	$2,073 – $2,073
17	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$2,417	$2,417	$2,417 – $2,417
18	Bcbs Vt indemnity facility · fee schedule · outpatient	$2,505	$2,505	$2,505 – $2,505
19	Bcbs Vt the vermont health plan/vermont health partnership facility · fee schedule · outpatient	$2,505	$2,505	$2,505 – $2,505
20	MultiPlan group health facility · percent of total billed charges · outpatientfrom % of charges	$2,525	$2,525	$2,525 – $2,525
21	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$2,631	$2,631	$2,631 – $2,631

Last updated: Apr 28, 2026

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