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
Bismarck, ND
See all hospitals reporting CPT 72193 →Price type
Sanford Medical Center Bismarck’s median price of $1.4k is 195% above the median hospital's median price ($469), higher than 81% 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: 8 payers, 24 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 | Sanford Health Plan medicare replacement case rate · outpatient | $169.12 | $169.12 | $169.12 – $169.12 |
| 2 | Ucare medicare replacement case rate · outpatient | $181.58 | $181.58 | $181.58 – $181.58 |
| 3 | Aetna medicare replacement case rate · outpatient | $183.36 | $183.36 | $183.36 – $183.36 |
| 4 | Bcbs Nd medicare replacement case rate · outpatient | $183.36 | $183.36 | $183.36 – $183.36 |
| 5 | UnitedHealthcare medicare replacement case rate · outpatient | $183.36 | $183.36 | $183.36 – $183.36 |
| 6 | Sanford Health Plan commercial/nd pers fee schedule · outpatient | $234.68 | $234.68 | $234.68 – $234.68 |
| 7 | Sanford Health Plan group health/true fee schedule · outpatient | $234.68 | $234.68 | $234.68 – $234.68 |
| 8 | Sanford Health Plan sd exchange commercial fee schedule · outpatient | $234.68 | $234.68 | $234.68 – $234.68 |
| 9 | Sanford Health Plan sd exchange true fee schedule · outpatient | $234.68 | $234.68 | $234.68 – $234.68 |
| 10 | Bcbs Nd commercial other · outpatient | $691.22 | $691.22 | $691.22 – $691.22 |
| 11 | Medica choice percent of total billed charges · outpatientfrom % of charges | $1,361 | $1,361 | $1,361 – $1,361 |
| 12 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $1,405 | $1,405 | $1,405 – $1,405 |
| 13 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $1,444 | $1,444 | $1,444 – $1,444 |
| 14 | Medica elect percent of total billed charges · outpatientfrom % of charges | $1,457 | $1,457 | $1,457 – $1,457 |
| 15 | UnitedHealthcare csp top 20 percent of total billed charges · inpatientfrom % of charges | $1,459 | $1,459 | $1,459 – $1,459 |
| 16 | UnitedHealthcare csp top 20 percent of total billed charges · outpatientfrom % of charges | $1,471 | $1,471 | $1,471 – $1,471 |
| 17 | UnitedHealthcare commercial percent of total billed charges · inpatientfrom % of charges | $1,659 | $1,659 | $1,659 – $1,659 |
| 18 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $1,659 | $1,659 | $1,659 – $1,659 |
| 19 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $1,691 | $1,691 | $1,691 – $1,691 |
| 20 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $1,691 | $1,691 | $1,691 – $1,691 |
| 21 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $1,799 | $1,799 | $1,799 – $1,799 |
| 22 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $1,799 | $1,799 | $1,799 – $1,799 |
| 23 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $1,799 | $1,799 | $1,799 – $1,799 |
| 24 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $1,799 | $1,799 | $1,799 – $1,799 |
Last updated: Mar 4, 2026
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