CT scan of pelvis with contrast dye at Saint Luke’s East 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 Sacrum W Contrast

Summit, MO

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How this price compares nationally

Saint Luke’s East Hospital’s median price of $1.0k is 115% above the median hospital's median price ($469), higher than 72% 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 Saint Luke’s East Hospital

Negotiated rates from the hospital’s own file: 6 payers, 65 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 uhc individual exchange benefit plan [30012] fee schedule · both	$187.48	$187.48	$187.48 – $187.48
2	Humana zzzhumana kansas city ppox [75002] fee schedule · both	$188.18	$188.18	$188.18 – $188.18
3	Cigna cigna connect epo exchange [70015] fee schedule · both	$197.31	$197.31	$197.31 – $197.31
4	Aetna zzzaetna carelink exchange [50016] fee schedule · both	$233.03	$233.03	$233.03 – $233.03
5	UnitedHealthcare uhc core essential [30018] fee schedule · both	$276.24	$276.24	$276.24 – $276.24
6	UnitedHealthcare uhc core essentials all savers [30019] fee schedule · both	$276.24	$276.24	$276.24 – $276.24
7	UnitedHealthcare uhc core umr [30020] fee schedule · both	$276.24	$276.24	$276.24 – $276.24
8	Blue Cross Blue Shield bc kc ucm kcmo blue select plus [40029] fee schedule · both	$284.30	$284.30	$284.30 – $284.30
9	Blue Cross Blue Shield bc kc hpn [40033] fee schedule · both	$294.88	$294.88	$294.88 – $294.88
10	Blue Cross Blue Shield bc out of area hpn [40034] fee schedule · both	$294.88	$294.88	$294.88 – $294.88
11	Blue Cross Blue Shield bc kc preferred care blue exchange [40016] fee schedule · both	$301.57	$301.57	$301.57 – $301.57
12	Humana zzzhumana commercial ppo pos [75001] fee schedule · both	$307.93	$307.93	$307.93 – $307.93
13	Aetna aetna local [50005] fee schedule · both	$323.66	$323.66	$323.66 – $323.66
14	Aetna aetna meritain local [50015] fee schedule · both	$323.66	$323.66	$323.66 – $323.66
15	Aetna aetna meritain national [50001] fee schedule · both	$323.66	$323.66	$323.66 – $323.66
16	Aetna aetna national [50006] fee schedule · both	$323.66	$323.66	$323.66 – $323.66
17	Aetna aetna signature misc ppo [50010] fee schedule · both	$323.66	$323.66	$323.66 – $323.66
18	Aetna aetna signatures luminare pob 2905 [50002] fee schedule · both	$323.66	$323.66	$323.66 – $323.66
19	Aetna aetna signatures luminare pob 2920 [50000] fee schedule · both	$323.66	$323.66	$323.66 – $323.66
20	Blue Cross Blue Shield bc kc federal [40012] fee schedule · both	$334.59	$334.59	$334.59 – $334.59
21	Blue Cross Blue Shield bc kc preferred care blue [40018] fee schedule · both	$334.59	$334.59	$334.59 – $334.59
22	Blue Cross Blue Shield bc out of area pref care blue ppo [40011] fee schedule · both	$334.59	$334.59	$334.59 – $334.59
23	Cigna cigna bjc flex or hdhp [70017] fee schedule · both	$450.29	$450.29	$450.29 – $450.29
24	Blue Cross Blue Shield zzzbc preferred care blue slhs [40027] fee schedule · both	$530.88	$530.88	$530.88 – $530.88
25	UnitedHealthcare zzzuhc slhs umr choice plus [30021] per diem · both	$694.50	$694.50	$694.50 – $694.50

Page 1 of 3 · 65 rates

Last updated: Dec 31, 2025

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