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 scan of pelvis with contrast
Helena, CA
See all hospitals reporting CPT 72193 →Price type
St Helena Hospital’s median price of $1.1k is 136% above the median hospital's median price ($469), higher than 75% 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: 7 payers, 33 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 | Cigna cigna-all other plans fee schedule · outpatient | $30.26 | $30.26 | $30.26 – $30.26 |
| 2 | Blue Cross Blue Shield blue shield bh mcr adv fee schedule · outpatient | $58.92 | $58.92 | $58.92 – $58.92 |
| 3 | Blue Cross Blue Shield blue shield mcr adv fee schedule · outpatient | $58.92 | $58.92 | $58.92 – $58.92 |
| 4 | Blue Cross Blue Shield tricare blue shield fee schedule · outpatient | $58.92 | $58.92 | $58.92 – $58.92 |
| 5 | Kaiser kaiser mcr adv fee schedule · outpatient | $58.92 | $58.92 | $58.92 – $58.92 |
| 6 | Kaiser kaiser-all other plans fee schedule · outpatient | $70.70 | $70.70 | $70.70 – $70.70 |
| 7 | Blue Cross Blue Shield blue shield epn-all other plans fee schedule · outpatient | $106.50 | $106.50 | $106.50 – $106.50 |
| 8 | Blue Cross Blue Shield blue shield non-epn fee schedule · outpatient | $112.55 | $112.55 | $112.55 – $112.55 |
| 9 | Medicaid medi-cal fee schedule · outpatient | $191.73 | $191.73 | $179.00 – $204.45 |
| 10 | Blue Cross Blue Shield blue shield bh mcr adv other · outpatient | $233.01 | $233.01 | $233.01 – $233.01 |
| 11 | Blue Cross Blue Shield blue shield mcr adv other · outpatient | $233.01 | $233.01 | $233.01 – $233.01 |
| 12 | Blue Cross Blue Shield tricare blue shield other · outpatient | $233.01 | $233.01 | $233.01 – $233.01 |
| 13 | Kaiser kaiser mcr adv other · outpatient | $233.01 | $233.01 | $233.01 – $233.01 |
| 14 | UnitedHealthcare uhc mcr adv other · outpatient | $233.01 | $233.01 | $233.01 – $233.01 |
| 15 | UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient | $310.22 | $310.22 | $310.22 – $310.22 |
| 16 | UnitedHealthcare uhc jll fee schedule · outpatient | $310.22 | $310.22 | $310.22 – $310.22 |
| 17 | UnitedHealthcare uhc options ppo fee schedule · outpatient | $310.22 | $310.22 | $310.22 – $310.22 |
| 18 | UnitedHealthcare uhc select/select plus fee schedule · outpatient | $310.22 | $310.22 | $310.22 – $310.22 |
| 19 | Blue Cross Blue Shield blue cross non mcs fee schedule · outpatient | $1,160 | $776.39 | $8.40 – $1,160 |
| 20 | Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient | $1,392 | $931.10 | $8.40 – $1,392 |
| 21 | Blue Cross Blue Shield blue cross exchange fee schedule · outpatient | $1,044 | $1,044 | $1,044 – $1,044 |
| 22 | Aetna aetna-all plans fee schedule · outpatient | $1,555 | $1,161 | $373.27 – $1,555 |
| 23 | Phcs phcs-all plans percent of total billed charges · outpatientfrom % of charges | $3,291 | $2,671 | $98.45 – $5,266 |
| 24 | UnitedHealthcare uhc select/select plus percent of total billed charges · outpatientfrom % of charges | $3,108 | $3,183 | $2,274 – $4,245 |
| 25 | Blue Cross Blue Shield blue shield behav hlth percent of total billed charges · outpatientfrom % of charges | $3,155 | $3,231 | $2,308 – $4,309 |
Last updated: Jul 15, 2026
See CT scan of pelvis with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.