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 PELVIS W CONT
Lumberton, NC
See all hospitals reporting CPT 72193 →Price type
Southeastern Regional Medical Center’s median price of $724 is 54% above the median hospital's median price ($469), higher than 62% 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, 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 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $168.28 | $168.28 | $168.28 – $168.28 |
| 2 | Optum vaccn facility · fee schedule · outpatient | $173.48 | $173.48 | $173.48 – $173.48 |
| 3 | Optum vaccn behavioral health facility · fee schedule · outpatient | $173.48 | $173.48 | $173.48 – $173.48 |
| 4 | Humana medicare hmo facility · fee schedule · outpatient | $176.95 | $176.95 | $176.95 – $176.95 |
| 5 | Humana medicare ppo facility · fee schedule · outpatient | $176.95 | $176.95 | $176.95 – $176.95 |
| 6 | Cigna medicare advantage facility · fee schedule · outpatient | $182.15 | $182.15 | $182.15 – $182.15 |
| 7 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $182.15 | $182.15 | $182.15 – $182.15 |
| 8 | Aetna medicare advantage facility · fee schedule · outpatient | $183.89 | $183.89 | $183.89 – $183.89 |
| 9 | Amerihealth Caritas managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $702.31 | $702.31 | $702.31 – $702.31 |
| 10 | UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $702.31 | $702.31 | $702.31 – $702.31 |
| 11 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $702.31 | $702.31 | $702.31 – $702.31 |
| 12 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $949.50 | $949.50 | $949.50 – $949.50 |
| 13 | Blue Cross Blue Shield blue select/blue value/hmo/ppo facility · fee schedule · outpatient | $1,475 | $1,475 | $1,475 – $1,475 |
| 14 | Medcost ultra facility · percent of total billed charges · inpatientfrom % of charges | $1,867 | $1,867 | $1,867 – $1,867 |
| 15 | Medcost ultra facility · percent of total billed charges · outpatientfrom % of charges | $1,867 | $1,867 | $1,867 – $1,867 |
| 16 | Medcost new mbs facility · percent of total billed charges · outpatientfrom % of charges | $1,931 | $1,931 | $1,931 – $1,931 |
| 17 | Medcost new mbs facility · percent of total billed charges · inpatientfrom % of charges | $1,962 | $1,962 | $1,962 – $1,962 |
| 18 | Medcost all other business facility · percent of total billed charges · outpatientfrom % of charges | $2,057 | $2,057 | $2,057 – $2,057 |
| 19 | Medcost all other business facility · percent of total billed charges · inpatientfrom % of charges | $2,089 | $2,089 | $2,089 – $2,089 |
| 20 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,184 | $2,184 | $2,184 – $2,184 |
| 21 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,230 | $2,230 | $1,927 – $2,532 |
| 22 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,244 | $2,244 | $1,956 – $2,532 |
| 23 | UnitedHealthcare commercial facility · per diem · outpatient | $2,890 | $2,890 | $2,890 – $2,890 |
| 24 | UnitedHealthcare individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $2,950 | $2,950 | $2,950 – $2,950 |
Last updated: Jun 4, 2026
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