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
HC CT PELVIS, W
Philadelphia, PA
See all hospitals reporting CPT 72193 →Price type
Temple Health - Chestnut Hill Hospital’s median price of $195 is 58% below the median hospital's median price ($469), higher than 12% 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, 23 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 | UnitedHealthcare community plan facility · fee schedule · outpatient | $117.64 | $117.64 | $117.64 – $117.64 |
| 2 | UnitedHealthcare chip facility · fee schedule · outpatient | $129.75 | $129.75 | $129.75 – $129.75 |
| 3 | Bcbs Nj medicare advantage facility · fee schedule · outpatient | $180.20 | $180.20 | $180.20 – $180.20 |
| 4 | Bcbs Pa medicare advantage hmo/medicare advantage ppo facility · fee schedule · outpatient | $180.20 | $180.20 | $180.20 – $180.20 |
| 5 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $180.20 | $180.20 | $180.20 – $180.20 |
| 6 | UnitedHealthcare vaccn facility · fee schedule · outpatient | $180.20 | $180.20 | $180.20 – $180.20 |
| 7 | Highmark medicare advantage facility · fee schedule · outpatient | $183.80 | $183.80 | $183.80 – $183.80 |
| 8 | Humana medicare advantage facility · fee schedule · outpatient | $185.61 | $185.61 | $185.61 – $185.61 |
| 9 | Cigna medicare hmo facility · fee schedule · outpatient | $187.41 | $187.41 | $187.41 – $187.41 |
| 10 | Cigna medicare ppo facility · fee schedule · outpatient | $187.41 | $187.41 | $187.41 – $187.41 |
| 11 | Aetna medicare advantage facility · fee schedule · outpatient | $194.62 | $194.62 | $194.62 – $194.62 |
| 12 | Cigna commercial facility · fee schedule · outpatient | $255.75 | $255.75 | $255.75 – $255.75 |
| 13 | Highmark commercial facility · fee schedule · outpatient | $574.15 | $574.15 | $574.15 – $574.15 |
| 14 | Bcbs Pa tiered ppaca facility · fee schedule · outpatient | $838.46 | $838.46 | $838.46 – $838.46 |
| 15 | UnitedHealthcare commercial facility · per diem · outpatient | $874.00 | $874.00 | $874.00 – $874.00 |
| 16 | Bcbs Pa hmo/ppo facility · fee schedule · outpatient | $882.56 | $882.56 | $882.56 – $882.56 |
| 17 | Bcbs Nj indemnity facility · percent of total billed charges · outpatientfrom % of charges | $952.70 | $952.70 | $952.70 – $952.70 |
| 18 | Bcbs Nj managed care facility · percent of total billed charges · outpatientfrom % of charges | $952.70 | $952.70 | $952.70 – $952.70 |
| 19 | Bcbs Nj ppo facility · percent of total billed charges · outpatientfrom % of charges | $952.70 | $952.70 | $952.70 – $952.70 |
| 20 | Bcbs Pa indemnity facility · fee schedule · outpatient | $1,861 | $1,861 | $1,861 – $1,861 |
| 21 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $5,049 | $5,049 | $5,049 – $5,049 |
| 22 | Aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $6,193 | $6,193 | $6,193 – $6,193 |
| 23 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $6,193 | $6,193 | $6,193 – $6,193 |
Last updated: Apr 8, 2026
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