CT scan of pelvis with contrast dye at Troy Community Hospital Incorporated

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/Contrast

Troy, PA

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How this price compares nationally

Troy Community Hospital Incorporated’s median price of $464 is 1% below the median hospital's median price ($469), higher than 50% 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 Troy Community Hospital Incorporated

Negotiated rates from the hospital’s own file: 6 payers, 24 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 managed medicaid facility · fee schedule · outpatient	$171.70	$171.70	$171.70 – $171.70
2	Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$194.73	$194.73	$194.73 – $194.73
3	Aetna better health facility · fee schedule · outpatient	$197.53	$197.53	$197.53 – $197.53
4	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$464.22	$464.22	$464.22 – $464.22
5	Tricare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$464.22	$464.22	$464.22 – $464.22
6	UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$464.22	$464.22	$464.22 – $464.22
7	Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$480.47	$480.47	$480.47 – $480.47
8	Blue Cross Blue Shield blue medicare hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges	$510.64	$510.64	$510.64 – $510.64
9	Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$510.64	$510.64	$510.64 – $510.64
10	Blue Cross Blue Shield highmark wholecare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$541.59	$541.59	$541.59 – $541.59
11	WellCare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$541.59	$541.59	$541.59 – $541.59
12	WellCare fidelis medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$876.86	$876.86	$876.86 – $876.86
13	Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · bothfrom % of charges	$1,290	$1,290	$1,290 – $1,290
14	Blue Cross Blue Shield highmark facility · percent of total billed charges · bothfrom % of charges	$1,451	$1,451	$1,451 – $1,451
15	Blue Cross Blue Shield highmark facility · percent of total billed charges · outpatientfrom % of charges	$1,451	$1,451	$1,451 – $1,451
16	Blue Cross Blue Shield highmark indemnity facility · percent of total billed charges · bothfrom % of charges	$1,451	$1,451	$1,451 – $1,451
17	Blue Cross Blue Shield highmark indemnity facility · percent of total billed charges · outpatientfrom % of charges	$1,451	$1,451	$1,451 – $1,451
18	Blue Cross Blue Shield highmark ppo facility · percent of total billed charges · bothfrom % of charges	$1,451	$1,451	$1,451 – $1,451
19	Blue Cross Blue Shield highmark ppo facility · percent of total billed charges · outpatientfrom % of charges	$1,451	$1,451	$1,451 – $1,451
20	Blue Cross Blue Shield first priority facility · percent of total billed charges · bothfrom % of charges	$1,624	$1,624	$1,624 – $1,624
21	Blue Cross Blue Shield first priority facility · percent of total billed charges · outpatientfrom % of charges	$1,624	$1,624	$1,624 – $1,624
22	UnitedHealthcare empire facility · percent of total billed charges · outpatientfrom % of charges	$1,872	$1,872	$1,872 – $1,872
23	UnitedHealthcare student facility · percent of total billed charges · outpatientfrom % of charges	$1,872	$1,872	$1,872 – $1,872
24	WellCare managed medicaid facility · other · outpatient	$2,579	$2,579	$2,579 – $2,579

Last updated: Mar 31, 2026

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