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 PELVIS W & W/O DYE
Toccoa, GA
See all hospitals reporting CPT 72194 →Price type
Stephens County Hospital’s median price of $627 is 29% above the median hospital's median price ($488), higher than 57% of the 2,559 hospitals reporting CPT 72194. 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, 9 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 | Caresource medicare fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 2 | Medicare medicare fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 3 | Medicaid medicaid percent of total billed charges · outpatientfrom % of charges | $611 | $611 | — | — | 1–10 | $611 – $611 |
| 4 | Medicaid medicaid other · outpatient | $627 | $627 | — | — | 1–10 | $627 – $627 |
| 5 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $629 | $629 | — | — | — | $629 – $629 |
| 6 | Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 7 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 8 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 9 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
Last updated: May 19, 2026
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