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
Fargo, ND
See all hospitals reporting CPT 72193 →Price type
Sanford Fargo Medical Center’s median price of $1.3k is 170% above the median hospital's median price ($469), higher than 79% 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: 9 payers, 28 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 Mn pmap fee schedule · outpatient | $133.87 | $133.87 | $133.87 – $133.87 |
| 2 | Sanford Health Plan medicare replacement case rate · outpatient | $169.12 | $169.12 | $169.12 – $169.12 |
| 3 | Ucare medicare replacement case rate · outpatient | $181.58 | $181.58 | $181.58 – $181.58 |
| 4 | Aetna medicare replacement case rate · outpatient | $183.36 | $183.36 | $183.36 – $183.36 |
| 5 | Bcbs Mn medicare replacement case rate · outpatient | $183.36 | $183.36 | $183.36 – $183.36 |
| 6 | Bcbs Nd medicare replacement case rate · outpatient | $183.36 | $183.36 | $183.36 – $183.36 |
| 7 | UnitedHealthcare medicare replacement case rate · outpatient | $183.36 | $183.36 | $183.36 – $183.36 |
| 8 | Ucare medicaid managed care fee schedule · outpatient | $192.57 | $192.57 | $192.57 – $192.57 |
| 9 | Sanford Health Plan commercial/nd pers fee schedule · outpatient | $234.68 | $234.68 | $234.68 – $234.68 |
| 10 | Sanford Health Plan group health/true fee schedule · outpatient | $234.68 | $234.68 | $234.68 – $234.68 |
| 11 | Sanford Health Plan sd exchange commercial fee schedule · outpatient | $234.68 | $234.68 | $234.68 – $234.68 |
| 12 | Sanford Health Plan sd exchange true fee schedule · outpatient | $234.68 | $234.68 | $234.68 – $234.68 |
| 13 | Bcbs Mn commercial fee schedule · outpatient | $324.44 | $324.44 | $324.44 – $324.44 |
| 14 | Bcbs Nd commercial other · outpatient | $665.63 | $665.63 | $665.63 – $665.63 |
| 15 | Medica choice percent of total billed charges · outpatientfrom % of charges | $1,267 | $1,267 | $1,267 – $1,267 |
| 16 | Medica elect percent of total billed charges · outpatientfrom % of charges | $1,355 | $1,355 | $1,355 – $1,355 |
| 17 | UnitedHealthcare csp top 20 percent of total billed charges · inpatientfrom % of charges | $1,785 | $1,785 | $1,785 – $1,785 |
| 18 | UnitedHealthcare csp top 20 percent of total billed charges · outpatientfrom % of charges | $1,785 | $1,785 | $1,785 – $1,785 |
| 19 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $1,979 | $1,979 | $1,979 – $1,979 |
| 20 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $1,979 | $1,979 | $1,979 – $1,979 |
| 21 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $2,408 | $2,408 | $2,408 – $2,408 |
| 22 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $2,408 | $2,408 | $2,408 – $2,408 |
| 23 | UnitedHealthcare commercial percent of total billed charges · inpatientfrom % of charges | $2,453 | $2,453 | $2,453 – $2,453 |
| 24 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $2,453 | $2,453 | $2,453 – $2,453 |
| 25 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $2,534 | $2,534 | $2,534 – $2,534 |
Last updated: Mar 4, 2026
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