CT scan of pelvis with contrast dye at Saline Memorial 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

Ct pelvis w/dye

Benton, AR

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How this price compares nationally

Saline Memorial Hospital’s median price of $416 is 11% below the median hospital's median price ($469), higher than 46% 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 Saline Memorial Hospital

Negotiated rates from the hospital’s own file: 7 payers, 18 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	Bcbs Ar 1888_1 fee schedule · both	$178.02	$178.02	$178.02 – $178.02
2	Blue Cross Blue Shield 1850_1 fee schedule · both	$178.02	$178.02	$178.02 – $178.02
3	Blue Cross Blue Shield 1851_1 fee schedule · both	$178.02	$178.02	$178.02 – $178.02
4	Blue Cross Blue Shield 1885_1 fee schedule · both	$178.02	$178.02	$178.02 – $178.02
5	Cigna 1009_1 fee schedule · both	$220.71	$220.71	$220.71 – $220.71
6	UnitedHealthcare 1241_1 fee schedule · both	$286.20	$286.20	$286.20 – $286.20
7	UnitedHealthcare 1244_1 fee schedule · both	$286.20	$286.20	$286.20 – $286.20
8	UnitedHealthcare 1248_1 fee schedule · both	$286.20	$286.20	$286.20 – $286.20
9	UnitedHealthcare 1258_1 fee schedule · both	$286.20	$286.20	$286.20 – $286.20
10	Aetna 385_1 fee schedule · both	$416.47	$416.47	$416.47 – $416.47
11	Blue Cross Blue Shield 321_1 fee schedule · both	$416.47	$416.47	$416.47 – $416.47
12	Humana 311_1 fee schedule · both	$416.47	$416.47	$416.47 – $416.47
13	Medicare 200_1 fee schedule · both	$416.47	$416.47	$416.47 – $416.47
14	UnitedHealthcare 303_1 fee schedule · both	$416.47	$416.47	$416.47 – $416.47
15	UnitedHealthcare 314_1 fee schedule · both	$416.47	$416.47	$416.47 – $416.47
16	UnitedHealthcare 318_1 fee schedule · both	$416.47	$416.47	$416.47 – $416.47
17	UnitedHealthcare 326_1 fee schedule · both	$416.47	$416.47	$416.47 – $416.47
18	UnitedHealthcare 347_1 fee schedule · both	$416.47	$416.47	$416.47 – $416.47

Last updated: Jul 17, 2026

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