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/dye
London, NH
See all hospitals reporting CPT 72193 →Price type
The New London Hospital Association, Inc.’s median price of $194 is 59% 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: 8 payers, 36 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 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · fee schedule · outpatient | $100.13 | $100.13 | $29.47 – $170.79 |
| 2 | Anthem anthem - medicare advantage professional · fee schedule · outpatient | $114.60 | $114.60 | $53.02 – $176.17 |
| 3 | UnitedHealthcare uhc - medicare advantage professional · fee schedule · outpatient | $114.60 | $114.60 | $53.02 – $176.17 |
| 4 | WellCare wellcare - medicare advantage professional · fee schedule · outpatient | $118.03 | $118.03 | $54.61 – $181.45 |
| 5 | Anthem anthem indiv qhp - exchange professional · fee schedule · outpatient | $118.04 | $118.04 | $54.61 – $181.46 |
| 6 | Aetna aetna medicare advantage professional · fee schedule · outpatient | $131.78 | $131.78 | $60.97 – $202.59 |
| 7 | Ambetter ambetter commercial - exchange professional · fee schedule · outpatient | $148.97 | $148.97 | $68.92 – $229.02 |
| 8 | UnitedHealthcare uhc - hmo/pos/ppo professional · fee schedule · outpatient | $152.53 | $152.53 | $71.77 – $233.28 |
| 9 | Anthem anthem shop on exch professional · fee schedule · outpatient | $160.43 | $160.43 | $74.22 – $246.63 |
| 10 | Cigna cigna hmo-pos-ppo professional · fee schedule · outpatient | $162.66 | $162.66 | $73.60 – $251.72 |
| 11 | Aetna aetna hmo/pos/ppo professional · fee schedule · outpatient | $216.65 | $216.65 | $81.46 – $351.84 |
| 12 | Anthem anthem - indemnity and federal employee program professional · fee schedule · outpatient | $242.98 | $242.98 | $112.36 – $373.60 |
| 13 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch professional · fee schedule · outpatient | $242.98 | $242.98 | $112.36 – $373.60 |
| 14 | UnitedHealthcare uhc - freedom plan professional · fee schedule · outpatient | $305.05 | $305.05 | $305.05 – $305.05 |
| 15 | Aetna aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1,092 | $1,092 | $1,092 – $1,092 |
| 16 | Ambetter ambetter commercial - exchange facility · percent of total billed charges · outpatientfrom % of charges | $1,092 | $1,092 | $1,092 – $1,092 |
| 17 | Anthem anthem - medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1,092 | $1,092 | $1,092 – $1,092 |
| 18 | Anthem anthem indiv qhp - exchange facility · percent of total billed charges · outpatientfrom % of charges | $1,092 | $1,092 | $1,092 – $1,092 |
| 19 | Anthem anthem shop on exch facility · percent of total billed charges · outpatientfrom % of charges | $1,092 | $1,092 | $1,092 – $1,092 |
| 20 | UnitedHealthcare uhc - medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1,092 | $1,092 | $1,092 – $1,092 |
| 21 | WellCare wellcare - medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1,092 | $1,092 | $1,092 – $1,092 |
| 22 | Amerihealth Caritas amerihealth caritas - nh managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1,264 | $1,264 | $1,264 – $1,264 |
| 23 | Cigna cigna hmo-pos-ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,680 | $1,680 | $1,680 – $1,680 |
| 24 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch facility · percent of total billed charges · outpatientfrom % of charges | $1,709 | $1,709 | $1,709 – $1,709 |
| 25 | UnitedHealthcare uhc - freedom plan facility · percent of total billed charges · outpatientfrom % of charges | $1,714 | $1,714 | $1,714 – $1,714 |
Last updated: Jan 1, 2026
See CT scan of pelvis with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.