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
XR Pelvis Complete Minimum 3 V DR
Wayne, IN
See all hospitals reporting CPT 72190 →Price type
St. Joseph Health System, LLC’s median price of $91 is 38% below the median hospital's median price ($147), higher than 14% of the 2,549 hospitals reporting CPT 72190. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 43 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 | Anthem anthem in medicaid facility · other · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 2 | Caresource caresource hhw in medicaid facility · other · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 3 | Caresource caresource in hip facility · other · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 4 | Humana humana pathways in medicaid facility · other · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 5 | Medicaid in medicaid facility · other · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 6 | UnitedHealthcare uhc hcc in medicaid facility · other · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 7 | UnitedHealthcare uhc pathways in medicaid facility · other · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 8 | Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $29 | $88 | $135 | 153% | — | $9 – $389 |
| 9 | Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $29 | $88 | $135 | 153% | — | $9 – $389 |
| 10 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 11 | Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges | $33 | $99 | $152 | 153% | — | $11 – $437 |
| 12 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $33 | $99 | $152 | 153% | — | $11 – $437 |
| 13 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $33 | $99 | $152 | 153% | — | $11 – $437 |
| 14 | Tricare node tricare facility · fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 15 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 16 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 17 | Humana node humana mcr adv facility · fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 18 | Anthem anthem in hip facility · fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 19 | Optum node united optum va ccn facility · per diem · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 20 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 21 | Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges | $41 | $126 | $193 | 153% | — | $13 – $554 |
| 22 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $41 | $126 | $193 | 153% | — | $13 – $554 |
| 23 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $166 | $166 | — | — | — | $166 – $166 |
| 24 | Anthem anthem in work comp facility · other · outpatient | $177 | $177 | — | — | — | $177 – $177 |
| 25 | Aetna aetna itec facility · percent of total billed charges · inpatientfrom % of charges | $61 | $186 | $285 | 153% | — | $20 – $819 |
Last updated: Apr 1, 2026
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