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
HB CT PELVIS W/DYE
Quakertown, PA
See all hospitals reporting CPT 72193 →Price type
St Luke's Hospital - Upper Bucks Campus’s median price of $202 is 57% below the median hospital's median price ($469), higher than 14% 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: 8 payers, 20 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 | Amerihealth Caritas medicaid facility · fee schedule · outpatient | $168.11 | $168.11 | $168.11 – $168.11 |
| 2 | Highmark medicaid facility · fee schedule · outpatient | $168.11 | $168.11 | $168.11 – $168.11 |
| 3 | Blue Cross Blue Shield medicare facility · fee schedule · outpatient | $182.25 | $182.25 | $182.25 – $182.25 |
| 4 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $182.25 | $182.25 | $182.25 – $182.25 |
| 5 | Highmark medicare advantage facility · fee schedule · outpatient | $182.25 | $182.25 | $182.25 – $182.25 |
| 6 | Highmark freedom blue medicare advantage facility · fee schedule · outpatient | $184.07 | $184.07 | $184.07 – $184.07 |
| 7 | Aetna medicare facility · fee schedule · outpatient | $185.90 | $185.90 | $185.90 – $185.90 |
| 8 | Humana medicare facility · fee schedule · outpatient | $189.54 | $189.54 | $189.54 – $189.54 |
| 9 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $196.83 | $196.83 | $196.83 – $196.83 |
| 10 | Highmark commercial/special care facility · fee schedule · outpatient | $629.80 | $629.80 | $629.80 – $629.80 |
| 11 | Blue Cross Blue Shield hmo facility · fee schedule · outpatient | $804.71 | $804.71 | $804.71 – $804.71 |
| 12 | Blue Cross Blue Shield indemnity facility · fee schedule · outpatient | $804.71 | $804.71 | $804.71 – $804.71 |
| 13 | Blue Cross Blue Shield ppo facility · fee schedule · outpatient | $804.71 | $804.71 | $804.71 – $804.71 |
| 14 | Oscar commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,192 | $1,192 | $1,192 – $1,192 |
| 15 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,192 | $1,192 | $1,192 – $1,192 |
| 16 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,257 | $1,257 | $1,257 – $1,257 |
| 17 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,327 | $1,327 | $1,327 – $1,327 |
| 18 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $1,580 | $1,580 | $1,580 – $1,580 |
| 19 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,603 | $1,603 | $1,603 – $1,603 |
| 20 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $3,803 | $3,803 | $3,803 – $3,803 |
Last updated: Feb 26, 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.