CT scan of pelvis with contrast dye at The Aroostook Medical Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Ct pelvis w/dye

Isle, ME

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How this price compares nationally

The Aroostook Medical Center’s median price of $178 is 62% below the median hospital's median price ($469), higher than 7% of the 2,597 hospitals reporting CPT 72193. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72193 at The Aroostook Medical Center

Negotiated rates from the hospital’s own file: 5 payers, 39 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 mcr advantage professional · fee schedule · outpatient	$103.23	$103.23	$50.98 – $155.47
2	UnitedHealthcare mcr advantage professional · fee schedule · outpatient	$105.29	$105.29	$52.00 – $158.58
3	WellCare mcr advantage professional · fee schedule · outpatient	$105.29	$105.29	$52.00 – $158.58
4	Aetna mcr advantage professional · percent of total billed charges · outpatientfrom % of charges	$128.52	$128.52	$128.52 – $128.52
5	Aetna mcr advantage professional · fee schedule · outpatient	$136.23	$136.23	$66.23 – $206.22
6	Anthem commercial professional · percent of total billed charges · inpatientfrom % of charges	$165.10	$165.10	$165.10 – $165.10
7	Anthem commercial professional · percent of total billed charges · outpatientfrom % of charges	$165.10	$165.10	$165.10 – $165.10
8	Anthem enhanced pathways professional · percent of total billed charges · inpatientfrom % of charges	$165.10	$165.10	$165.10 – $165.10
9	Anthem enhanced pathways professional · percent of total billed charges · outpatientfrom % of charges	$165.10	$165.10	$165.10 – $165.10
10	Aetna mcr advantage facility · case rate · outpatient	$175.74	$175.74	$175.74 – $175.74
11	Anthem mcr advantage facility · case rate · outpatient	$175.74	$175.74	$175.74 – $175.74
12	UnitedHealthcare mcr advantage facility · case rate · outpatient	$175.74	$175.74	$175.74 – $175.74
13	UnitedHealthcare commercial professional · percent of total billed charges · inpatientfrom % of charges	$176.78	$176.78	$176.78 – $176.78
14	Aetna commercial professional · fee schedule · outpatient	$180.65	$180.65	$89.22 – $272.07
15	UnitedHealthcare commercial professional · fee schedule · outpatient	$185.21	$185.21	$100.24 – $270.17
16	WellCare mcr advantage facility · case rate · outpatient	$188.22	$188.22	$188.22 – $188.22
17	Aetna commercial professional · percent of total billed charges · inpatientfrom % of charges	$188.72	$188.72	$188.72 – $188.72
18	Cigna commercial professional · percent of total billed charges · inpatientfrom % of charges	$189.48	$189.48	$189.48 – $189.48
19	Cigna commercial professional · percent of total billed charges · outpatientfrom % of charges	$189.48	$189.48	$189.48 – $189.48
20	Aetna commercial professional · percent of total billed charges · outpatientfrom % of charges	$197.87	$197.87	$197.87 – $197.87
21	UnitedHealthcare commercial professional · percent of total billed charges · outpatientfrom % of charges	$205.49	$205.49	$205.49 – $205.49
22	Anthem commercial professional · fee schedule · outpatient	$216.50	$216.50	$102.28 – $330.71
23	Anthem enhanced pathways professional · fee schedule · outpatient	$216.50	$216.50	$102.28 – $330.71
24	Cigna commercial professional · fee schedule · outpatient	$272.11	$272.11	$121.27 – $422.94
25	Anthem enhanced pathways facility · case rate · outpatient	$639.27	$639.27	$639.27 – $639.27

Page 1 of 2 · 39 rates

Last updated: Mar 30, 2026

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