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/DYE
Monticello, UT
See all hospitals reporting CPT 72193 →Price type
San Juan Hospital’s median price of $249 is 47% below the median hospital's median price ($469), higher than 25% 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: 2 payers, 8 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 | Humana medicare advantage professional · fee schedule · outpatient | $192.98 | $165.73 | $55.62 – $248.60 |
| 2 | Tricare east professional · fee schedule · outpatient | $192.98 | $165.73 | $55.62 – $248.60 |
| 3 | Tricare life professional · fee schedule · outpatient | $192.98 | $165.73 | $55.62 – $248.60 |
| 4 | Tricare west professional · fee schedule · outpatient | $192.98 | $165.73 | $55.62 – $248.60 |
| 5 | Humana medicare advantage facility · fee schedule · outpatient | $248.60 | $248.60 | $248.60 – $248.60 |
| 6 | Tricare east facility · fee schedule · outpatient | $248.60 | $248.60 | $248.60 – $248.60 |
| 7 | Tricare life facility · fee schedule · outpatient | $248.60 | $248.60 | $248.60 – $248.60 |
| 8 | Tricare west facility · fee schedule · outpatient | $248.60 | $248.60 | $248.60 – $248.60 |
Last updated: Apr 13, 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.