CT scan of pelvis with contrast dye at Saint Marys 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 Pelvis W/Contrast

Waterbury, CT

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How this price compares nationally

Saint Marys Hospital’s median price of $624 is 33% above the median hospital's median price ($469), higher than 58% 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 Marys Hospital

Negotiated rates from the hospital’s own file: 16 payers, 25 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 aetna medicare advantage facility · other · both	$206.07	$206.07	$206.07 – $206.07
2	Anthem anthem mediblue medicare advantage facility · other · both	$206.07	$206.07	$206.07 – $206.07
3	UnitedHealthcare united healthcare medicare advantage facility · other · both	$206.07	$206.07	$206.07 – $206.07
4	WellCare wellcare medicare advantage facility · other · both	$210.27	$210.27	$210.27 – $210.27
5	Cigna cigna medicare advantage facility · other · both	$212.25	$212.25	$212.25 – $212.25
6	UnitedHealthcare united healthcare facility · fee schedule · both	$291.55	$291.55	$291.55 – $291.55
7	Cigna cigna facility · fee schedule · both	$338.00	$338.00	$338.00 – $338.00
8	Aetna aetna whole health facility · fee schedule · both	$383.31	$383.31	$383.31 – $383.31
9	Aetna aetna facility · fee schedule · both	$479.13	$479.13	$479.13 – $479.13
10	Anthem anthem individual pathway hmo ppo facility · other · both	$483.35	$483.35	$483.35 – $483.35
11	Anthem anthem bc prime bcn cent pref sm grp pth facility · other · both	$561.31	$561.31	$561.31 – $561.31
12	Anthem anthem facility · other · both	$623.67	$623.67	$623.67 – $623.67
13	Blue Cross Blue Shield anthem facility · other · both	$623.67	$623.67	$623.67 – $623.67
14	Carefirst anthem facility · other · both	$623.67	$623.67	$623.67 – $623.67
15	Excellus anthem facility · other · both	$623.67	$623.67	$623.67 – $623.67
16	Highmark anthem facility · other · both	$623.67	$623.67	$623.67 – $623.67
17	Kaiser anthem facility · other · both	$623.67	$623.67	$623.67 – $623.67
18	Premera anthem facility · other · both	$623.67	$623.67	$623.67 – $623.67
19	Regence anthem facility · other · both	$623.67	$623.67	$623.67 – $623.67
20	Wellmark anthem facility · other · both	$623.67	$623.67	$623.67 – $623.67
21	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$1,942	$1,942	$1,942 – $1,942
22	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$1,942	$1,942	$1,942 – $1,942
23	Cigna evernorth facility · percent of total billed charges · bothfrom % of charges	$2,018	$2,018	$2,018 – $2,018
24	Optum united healthcare facility · percent of total billed charges · bothfrom % of charges	$2,522	$2,522	$2,522 – $2,522
25	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$2,522	$2,522	$2,522 – $2,522

Last updated: Mar 31, 2026

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