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
CT Pelvis w/ Contrast
Kapaa, HI
See all hospitals reporting CPT 72193 →Price type
Samuel Mahelona Memorial Hospital’s median price of $364 is 22% below the median hospital's median price ($469), higher than 39% 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: 4 payers, 14 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 medicare professional · fee schedule · both | $54.29 | $54.29 | $54.29 – $54.29 |
| 2 | Devoted medicare professional · fee schedule · both | $59.72 | $59.72 | $59.72 – $59.72 |
| 3 | Kaiser commercial professional · fee schedule · both | $65.15 | $65.15 | $65.15 – $65.15 |
| 4 | Kaiser medicaid professional · fee schedule · both | $65.15 | $65.15 | $65.15 – $65.15 |
| 5 | Kaiser medicare professional · fee schedule · both | $65.15 | $65.15 | $65.15 – $65.15 |
| 6 | UnitedHealthcare medicaid professional · fee schedule · both | $157.39 | $157.39 | $157.39 – $157.39 |
| 7 | UnitedHealthcare medicaid facility · fee schedule · outpatient | $225.48 | $225.48 | $225.48 – $225.48 |
| 8 | Humana medicare facility · percent of total billed charges · outpatientfrom % of charges | $777.50 | $777.50 | $777.50 – $777.50 |
| 9 | Kaiser medicare facility · percent of total billed charges · outpatientfrom % of charges | $777.50 | $777.50 | $777.50 – $777.50 |
| 10 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $777.50 | $777.50 | $777.50 – $777.50 |
| 11 | Kaiser medicaid facility · percent of total billed charges · outpatientfrom % of charges | $793.05 | $793.05 | $793.05 – $793.05 |
| 12 | Devoted medicare facility · percent of total billed charges · outpatientfrom % of charges | $855.25 | $855.25 | $855.25 – $855.25 |
| 13 | Kaiser commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,400 | $1,400 | $1,400 – $1,400 |
| 14 | Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,400 | $1,400 | $1,400 – $1,400 |
Last updated: Jun 15, 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.