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
Phillipsburg, NJ
See all hospitals reporting CPT 72193 →Price type
St Luke's Warren Hospital’s median price of $777 is 65% above the median hospital's median price ($469), higher than 64% 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, 18 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Amerihealth Caritas medicaid facility · fee schedule · outpatient | $168.11 | $168.11 | $168.11 – $168.11 |
| 2 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $196.04 | $196.04 | $196.04 – $196.04 |
| 3 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $196.04 | $196.04 | $196.04 – $196.04 |
| 4 | Aetna medicare facility · fee schedule · outpatient | $199.96 | $199.96 | $199.96 – $199.96 |
| 5 | Humana medicare facility · fee schedule · outpatient | $203.88 | $203.88 | $203.88 – $203.88 |
| 6 | UnitedHealthcare commercial facility · fee schedule · outpatient | $547.29 | $547.29 | $547.29 – $547.29 |
| 7 | Blue Cross Blue Shield indemnity facility · fee schedule · outpatient | $658.13 | $658.13 | $658.13 – $658.13 |
| 8 | Blue Cross Blue Shield managed care facility · fee schedule · outpatient | $658.13 | $658.13 | $658.13 – $658.13 |
| 9 | Blue Cross Blue Shield ppo facility · fee schedule · outpatient | $733.37 | $733.37 | $658.13 – $808.60 |
| 10 | Blue Cross Blue Shield omnia facility · fee schedule · outpatient | $776.63 | $776.63 | $776.63 – $776.63 |
| 11 | Blue Cross Blue Shield hmo facility · fee schedule · outpatient | $808.60 | $808.60 | $808.60 – $808.60 |
| 12 | Blue Cross Blue Shield commercial facility · fee schedule · outpatient | $1,853 | $1,853 | $1,853 – $1,853 |
| 13 | Oscar commercial facility · percent of total billed charges · inpatientfrom % of charges | $3,160 | $3,160 | $3,160 – $3,160 |
| 14 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $3,160 | $3,160 | $3,160 – $3,160 |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $3,257 | $3,257 | $3,257 – $3,257 |
| 16 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $3,302 | $3,302 | $3,302 – $3,302 |
| 17 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $4,181 | $4,181 | $4,181 – $4,181 |
| 18 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $4,242 | $4,242 | $4,242 – $4,242 |
Last updated: Feb 27, 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.