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
Wheaton, MN
See all hospitals reporting CPT 72193 →Price type
Sanford Wheaton’s median price of $2.2k is 370% above the median hospital's median price ($469), higher than 91% 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, 27 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 | Ucare medicaid managed care case rate · outpatient | $186.92 | $186.92 | $186.92 – $186.92 |
| 2 | Bcbs Mn pmap fee schedule · outpatient | $446.60 | $446.60 | $446.60 – $446.60 |
| 3 | Bcbs Mn commercial/federal fee schedule · outpatient | $893.20 | $893.20 | $893.20 – $893.20 |
| 4 | Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,333 | $1,333 | $1,333 – $1,333 |
| 5 | Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,430 | $1,430 | $1,430 – $1,430 |
| 6 | Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,444 | $1,444 | $1,444 – $1,444 |
| 7 | Bcbs Mn medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,444 | $1,444 | $1,444 – $1,444 |
| 8 | UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,444 | $1,444 | $1,444 – $1,444 |
| 9 | Bcbs Nd commercial percent of total billed charges · outpatientfrom % of charges | $1,820 | $1,820 | $1,820 – $1,820 |
| 10 | Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges | $2,087 | $2,087 | $2,087 – $2,087 |
| 11 | Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges | $2,087 | $2,087 | $2,087 – $2,087 |
| 12 | UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges | $2,208 | $2,208 | $2,208 – $2,208 |
| 13 | UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges | $2,208 | $2,208 | $2,208 – $2,208 |
| 14 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $2,298 | $2,298 | $2,298 – $2,298 |
| 15 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $2,298 | $2,298 | $2,298 – $2,298 |
| 16 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $2,323 | $2,323 | $2,323 – $2,323 |
| 17 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $2,323 | $2,323 | $2,323 – $2,323 |
| 18 | Medica choice percent of total billed charges · outpatientfrom % of charges | $2,324 | $2,324 | $2,324 – $2,324 |
| 19 | Medica choice percent of total billed charges · inpatientfrom % of charges | $2,337 | $2,337 | $2,337 – $2,337 |
| 20 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $2,380 | $2,380 | $2,380 – $2,380 |
| 21 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $2,380 | $2,380 | $2,380 – $2,380 |
| 22 | Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · inpatientfrom % of charges | $2,455 | $2,455 | $2,455 – $2,455 |
| 23 | Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · outpatientfrom % of charges | $2,455 | $2,455 | $2,455 – $2,455 |
| 24 | Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges | $2,455 | $2,455 | $2,455 – $2,455 |
| 25 | Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges | $2,455 | $2,455 | $2,455 – $2,455 |
Last updated: Mar 4, 2026
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