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/o & w/dye
Davis, CA
See all hospitals reporting CPT 72194 →Price type
Sutter Davis Hospital’s median price of $1.8k is 267% above the median hospital's median price ($488), higher than 84% 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: 5 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 | Anthem medicare adv_ hmo / ppo facility · fee schedule · outpatient | $228 | $228 | — | — | — | $228 – $228 |
| 2 | Anthem individual facility · fee schedule · outpatient | $842 | $842 | — | — | — | $842 – $842 |
| 3 | Blue Cross Blue Shield individual facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 4 | Anthem hmo/ppo facility · fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 5 | Blue Cross Blue Shield hmo/ppo facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 6 | UnitedHealthcare hmo / ppo facility · fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 7 | UnitedHealthcare hmo/ppo facility · fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 8 | Cigna hmo/ppo facility · fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 9 | Aetna hmo/ppo facility · fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
Last updated: Apr 1, 2026
See CT scan of the pelvis, combination study pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.