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
HC CT SCAN OF PELVIS CONTRAST - CT PELVIS W CONTRAST
Saratoga Springs, NY
See all hospitals reporting CPT 72193 →Price type
Saratoga Hospital’s median price of $490 is 4% above the median hospital's median price ($469), higher than 52% 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: 4 payers, 17 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 | Aetna medicare advantage facility · fee schedule · outpatient | $160.49 | $126.31 | $57.96 – $160.49 |
| 2 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $305.73 | $305.73 | $305.73 – $305.73 |
| 3 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $321.02 | $321.02 | $321.02 – $321.02 |
| 4 | Blue Cross Blue Shield senior blue ppo facility · fee schedule · outpatient | $397.53 | $397.53 | $397.53 – $397.53 |
| 5 | Blue Cross Blue Shield managed medicaid facility · case rate · outpatient | $435.51 | $435.51 | $435.51 – $435.51 |
| 6 | UnitedHealthcare medicaid facility · case rate · outpatient | $435.51 | $435.51 | $435.51 – $435.51 |
| 7 | Blue Cross Blue Shield all products facility · fee schedule · outpatient | $544.63 | $533.76 | $187.40 – $732.03 |
| 8 | Blue Cross Blue Shield essential plans aliessa facility · case rate · outpatient | $805.69 | $805.69 | $805.69 – $805.69 |
| 9 | Blue Cross Blue Shield essential plans non aliessa facility · case rate · outpatient | $805.69 | $805.69 | $805.69 – $805.69 |
| 10 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,877 | $1,877 | $1,877 – $1,877 |
| 11 | Blue Cross Blue Shield blue access large group facility · percent of total billed charges · outpatientfrom % of charges | $1,953 | $1,953 | $1,953 – $1,953 |
| 12 | Blue Cross Blue Shield blue access small group facility · percent of total billed charges · outpatientfrom % of charges | $2,145 | $2,145 | $2,145 – $2,145 |
| 13 | Blue Cross Blue Shield commercial all products facility · percent of total billed charges · outpatientfrom % of charges | $2,298 | $2,298 | $2,298 – $2,298 |
| 14 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $2,873 | $2,873 | $2,873 – $2,873 |
| 15 | UnitedHealthcare all products facility · percent of total billed charges · outpatientfrom % of charges | $2,873 | $2,873 | $2,873 – $2,873 |
| 16 | MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges | $3,256 | $3,256 | $3,256 – $3,256 |
| 17 | UnitedHealthcare all products facility · percent of total billed charges · inpatientfrom % of charges | $3,447 | $3,447 | $3,447 – $3,447 |
Last updated: Dec 31, 2025
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