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
CLINTON, SC
See all hospitals reporting CPT 72193 →Price type
Prisma Health Laurens County Hospital’s median price of $398 is 15% below the median hospital's median price ($469), higher than 44% 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: 15 payers, 34 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 phu hb tricare - lmh other · both | $165.35 | $165.35 | $165.35 – $165.35 |
| 2 | Blue Cross Blue Shield phu hb 100% of medicare - lmh other · both | $178.10 | $178.10 | $178.10 – $178.10 |
| 3 | Cigna phu hb 100% of medicare - lmh other · both | $178.10 | $178.10 | $178.10 – $178.10 |
| 4 | Devoted phu hb 100% of medicare - lmh other · both | $178.10 | $178.10 | $178.10 – $178.10 |
| 5 | Medicare phu hb medicare - laurens other · both | $178.10 | $178.10 | $178.10 – $178.10 |
| 6 | Blue Cross Blue Shield phu hb 102% of medicare - lmh other · both | $181.67 | $181.67 | $181.67 – $181.67 |
| 7 | Humana phu hb humana medicare pffs - laurens other · both | $181.67 | $181.67 | $181.67 – $181.67 |
| 8 | UnitedHealthcare phu hb uhc medicare - lmh other · both | $184.34 | $184.34 | $184.34 – $184.34 |
| 9 | Humana phu hb 104% humana medicare - laurens other · both | $185.23 | $185.23 | $185.23 – $185.23 |
| 10 | Aetna phu hb aetna ppo/hmo medicare - lmh other · both | $187.01 | $187.01 | $187.01 – $187.01 |
| 11 | Aetna phu hb aetna prime hmo medicare - lmh other · both | $187.01 | $187.01 | $187.01 – $187.01 |
| 12 | Cigna phu hb 105% of medicare - lmh other · both | $187.01 | $187.01 | $187.01 – $187.01 |
| 13 | Molina phu hb 105% of medicare - lmh other · both | $187.01 | $187.01 | $187.01 – $187.01 |
| 14 | WellCare phu hb 105% of medicare - lmh other · both | $187.01 | $187.01 | $187.01 – $187.01 |
| 15 | WellCare phu hb absolute total care medicare laurens other · both | $187.01 | $187.01 | $187.01 – $187.01 |
| 16 | Molina phu hb molina dual eligible lmh other · both | $195.92 | $195.92 | $195.92 – $195.92 |
| 17 | Ambetter phu hb ambetter hix atc medicare - lmh other · both | $327.71 | $327.71 | $327.71 – $327.71 |
| 18 | UnitedHealthcare ph north carolina medicaid percent of total billed charges · bothfrom % of charges | $397.63 | $397.63 | $397.63 – $397.63 |
| 19 | WellCare ph north carolina medicaid percent of total billed charges · bothfrom % of charges | $397.63 | $397.63 | $397.63 – $397.63 |
| 20 | UnitedHealthcare phu hb united healthcare laurens fee schedule · both | $405.77 | $405.77 | $405.77 – $405.77 |
| 21 | Blue Cross Blue Shield phu hb upstate blue exchange reedy - lmh percent of total billed charges · bothfrom % of charges | $493.16 | $493.16 | $493.16 – $493.16 |
| 22 | Blue Cross Blue Shield phu hb bcbs state laurens fee schedule · both | $527.80 | $527.80 | $527.80 – $527.80 |
| 23 | Blue Cross Blue Shield phu hb blues exchange laurens percent of total billed charges · bothfrom % of charges | $588.70 | $588.70 | $588.70 – $588.70 |
| 24 | Caresource phu hb 100% of medicaid - lmh fee schedule · both | $793.87 | $793.87 | $793.87 – $793.87 |
| 25 | Molina phu hb molina medicaid - lmh fee schedule · both | $817.69 | $817.69 | $817.69 – $817.69 |
Last updated: Mar 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.