CT scan of pelvis without contrast at St.davids Surgical Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CT PELVIS W/O CONTRAST

Austin, TX

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How this price compares nationally

St.davids Surgical Hospital’s median price of $245 is 24% below the median hospital's median price ($324), higher than 44% of the 2,708 hospitals reporting CPT 72192. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72192 at St.davids Surgical Hospital

Negotiated rates from the hospital’s own file: 8 payers, 31 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	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
4	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
5	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$95	$95	—	—	—	$95 – $95
6	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$95	$95	—	—	—	$95 – $95
7	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$95	$95	—	—	—	$95 – $95
8	Humana mgmcd fee schedule · outpatient	$131	$131	—	—	—	$131 – $131
9	Aetna Better Health mcd fee schedule · outpatient	$132	$132	—	—	—	$132 – $132
10	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$139	$139	—	—	—	$139 – $139
11	Humana hmo percent of total billed charges · outpatientfrom % of charges	$156	$156	—	—	—	$156 – $156
12	Humana ppo percent of total billed charges · outpatientfrom % of charges	$156	$156	—	—	—	$156 – $156
13	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$165	$165	—	—	—	$165 – $165
14	UnitedHealthcare narrownetworkhix fee schedule · outpatient	$167	$167	—	—	—	$167 – $167
15	UnitedHealthcare allpayerappendix fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
16	UnitedHealthcare smallgroup fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
17	UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges	$252	$252	—	—	—	$252 – $252
18	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$256	$256	—	—	—	$256 – $256
19	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$312	$312	—	—	—	$312 – $312
20	First Health ppo percent of total billed charges · outpatientfrom % of charges	$372	$358	$30	8%	—	$316 – $386
21	MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges	$420	$420	—	—	—	$420 – $420
22	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$432	$432	—	—	—	$432 – $432
23	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$432	$432	—	—	—	$432 – $432
24	MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges	$476	$476	—	—	—	$476 – $476
25	Blue Cross Blue Shield eposoa fee schedule · outpatient	$477	$477	—	—	—	$477 – $477

Page 1 of 2 · 31 rates

Last updated: Sep 1, 2026

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