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
Sheldon, IA
See all hospitals reporting CPT 72193 →Price type
Sanford Sheldon Medical Center’s median price of $1.8k is 277% above the median hospital's median price ($469), higher than 86% 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, 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 | Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges | $799.43 | $799.43 | $799.43 – $799.43 |
| 2 | Wellmark ppo other · outpatient | $832.37 | $832.37 | $832.37 – $832.37 |
| 3 | Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges | $858.33 | $858.33 | $858.33 – $858.33 |
| 4 | Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges | $866.75 | $866.75 | $866.75 – $866.75 |
| 5 | Bcbs Nd medicare replacement percent of total billed charges · outpatientfrom % of charges | $866.75 | $866.75 | $866.75 – $866.75 |
| 6 | UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges | $866.75 | $866.75 | $866.75 – $866.75 |
| 7 | Wellmark hmo percent of total billed charges · inpatientfrom % of charges | $1,403 | $1,403 | $1,403 – $1,403 |
| 8 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $1,459 | $1,459 | $1,459 – $1,459 |
| 9 | Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges | $1,503 | $1,503 | $1,503 – $1,503 |
| 10 | Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges | $1,503 | $1,503 | $1,503 – $1,503 |
| 11 | Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges | $1,503 | $1,503 | $1,503 – $1,503 |
| 12 | Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges | $1,503 | $1,503 | $1,503 – $1,503 |
| 13 | Sanford Health Plan commercial/nd pers percent of total billed charges · inpatientfrom % of charges | $1,768 | $1,768 | $1,768 – $1,768 |
| 14 | Sanford Health Plan commercial/nd pers percent of total billed charges · outpatientfrom % of charges | $1,768 | $1,768 | $1,768 – $1,768 |
| 15 | Sanford Health Plan sd exchange commercial percent of total billed charges · inpatientfrom % of charges | $1,768 | $1,768 | $1,768 – $1,768 |
| 16 | Sanford Health Plan sd exchange commercial percent of total billed charges · outpatientfrom % of charges | $1,768 | $1,768 | $1,768 – $1,768 |
| 17 | Medica choice percent of total billed charges · inpatientfrom % of charges | $2,314 | $2,314 | $2,314 – $2,314 |
| 18 | Medica choice percent of total billed charges · outpatientfrom % of charges | $2,314 | $2,314 | $2,314 – $2,314 |
| 19 | UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges | $2,342 | $2,342 | $2,342 – $2,342 |
| 20 | UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges | $2,342 | $2,342 | $2,342 – $2,342 |
| 21 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $2,438 | $2,438 | $2,438 – $2,438 |
| 22 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $2,438 | $2,438 | $2,438 – $2,438 |
| 23 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $2,464 | $2,464 | $2,464 – $2,464 |
| 24 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $2,464 | $2,464 | $2,464 – $2,464 |
| 25 | Medica elect percent of total billed charges · inpatientfrom % of charges | $2,474 | $2,474 | $2,474 – $2,474 |
Last updated: Mar 4, 2026
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