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/CONTRAST MATERIAL
Cleveland, OH
See all hospitals reporting CPT 72193 →Price type
The Cleveland Clinic Foundation’s median price of $388 is 17% below the median hospital's median price ($469), higher than 41% 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: 11 payers, 69 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 | Aetna all products professional · other · outpatient | $3.22 | $3.22 | $3.22 – $3.22 |
| 2 | Devoted medicare advantage professional · fee schedule · outpatient | $155.37 | $137.96 | $51.57 – $206.94 |
| 3 | Aetna medicare advantage professional · fee schedule · outpatient | $158.20 | $140.51 | $52.56 – $210.76 |
| 4 | Aetna medicare advantage transplant professional · fee schedule · outpatient | $158.20 | $140.51 | $52.56 – $210.76 |
| 5 | Anthem medicare advantage professional · fee schedule · outpatient | $158.20 | $140.51 | $52.56 – $210.76 |
| 6 | Humana medicare advantage hmo professional · fee schedule · outpatient | $158.20 | $140.51 | $52.56 – $210.76 |
| 7 | Optum medicare advantage transplant professional · fee schedule · outpatient | $158.20 | $140.51 | $52.56 – $210.76 |
| 8 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $158.20 | $140.51 | $52.56 – $210.76 |
| 9 | Cigna medicare advantage professional · fee schedule · outpatient | $162.95 | $144.72 | $54.14 – $217.08 |
| 10 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $159.40 | $159.40 | $159.40 – $159.40 |
| 11 | Humana medicare advantage hmo facility · fee schedule · outpatient | $165.03 | $165.03 | $165.03 – $165.03 |
| 12 | Optum all products va facility · fee schedule · outpatient | $165.03 | $165.03 | $165.03 – $165.03 |
| 13 | Optum medicare advantage transplant facility · fee schedule · outpatient | $165.03 | $165.03 | $165.03 – $165.03 |
| 14 | Aetna medicare advantage facility · fee schedule · outpatient | $165.94 | $165.94 | $165.94 – $165.94 |
| 15 | Anthem medicare advantage facility · fee schedule · outpatient | $165.94 | $165.94 | $165.94 – $165.94 |
| 16 | Cigna medicare advantage lifesource facility · fee schedule · outpatient | $165.94 | $165.94 | $165.94 – $165.94 |
| 17 | Devoted medicare advantage facility · fee schedule · outpatient | $165.94 | $165.94 | $165.94 – $165.94 |
| 18 | Cigna medicare advantage facility · fee schedule · outpatient | $170.92 | $170.92 | $170.92 – $170.92 |
| 19 | Optum managed medicaid transplant professional · fee schedule · outpatient | $181.38 | $181.38 | $181.38 – $181.38 |
| 20 | Anthem all products mid-level facility professional · fee schedule · outpatient | $223.81 | $198.59 | $74.07 – $297.89 |
| 21 | Anthem all products mid-level non-facility professional · fee schedule · outpatient | $223.81 | $198.59 | $74.07 – $297.89 |
| 22 | Caresource managed medicaid professional · fee schedule · outpatient | $200.47 | $200.47 | $200.47 – $200.47 |
| 23 | Molina managed medicaid professional · fee schedule · outpatient | $210.01 | $210.01 | $210.01 – $210.01 |
| 24 | Oscar all products professional · percent of total billed charges · outpatientfrom % of charges | $312.03 | $294.42 | $129.59 – $441.63 |
| 25 | Humana all products professional · fee schedule · outpatient | $305.73 | $305.73 | $305.73 – $305.73 |
Last updated: Jun 16, 2026
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