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
CHG CT PELVIS W/CONTRAST MATERIAL
Burlington, VT
See all hospitals reporting CPT 72193 →Price type
University of Vermont Medical Center Inc’s median price of $222 is 53% below the median hospital's median price ($469), higher than 19% 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, 25 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/essential plans professional · fee schedule · both | $93.71 | $93.71 | $36.46 – $150.96 |
| 2 | Aetna medicare advantage professional · fee schedule · both | $121.22 | $127.64 | $44.55 – $223.56 |
| 3 | Humana tricare professional · fee schedule · both | $132.44 | $132.44 | $44.07 – $220.81 |
| 4 | UnitedHealthcare medicare advantage professional · fee schedule · both | $137.30 | $137.30 | $52.15 – $222.45 |
| 5 | Excellus medicare advantage professional · fee schedule · both | $137.99 | $137.99 | $52.41 – $223.56 |
| 6 | Excellus managed medicaid/essential plans professional · fee schedule · both | $139.96 | $139.96 | $38.21 – $241.70 |
| 7 | Humana tricare facility · fee schedule · outpatient | $178.02 | $178.02 | $178.02 – $178.02 |
| 8 | Aetna medicare advantage facility · fee schedule · outpatient | $193.42 | $193.42 | $193.42 – $193.42 |
| 9 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $193.42 | $193.42 | $193.42 – $193.42 |
| 10 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $272.99 | $287.73 | $97.41 – $507.51 |
| 11 | Excellus commercial professional · fee schedule · both | $387.82 | $387.82 | $150.49 – $625.15 |
| 12 | Blue Cross Blue Shield hmo professional · percent of total billed charges · bothfrom % of charges | $510.24 | $510.24 | $187.88 – $832.60 |
| 13 | Bcbs Vt indemnity professional · fee schedule · both | $626.97 | $626.97 | $230.98 – $1,023 |
| 14 | Bcbs Vt the vermont health plan/vermont health partnership professional · fee schedule · both | $626.97 | $626.97 | $230.98 – $1,023 |
| 15 | Cigna commercial professional · fee schedule · both | $626.97 | $626.97 | $230.98 – $1,023 |
| 16 | UnitedHealthcare commercial professional · fee schedule · both | $666.93 | $666.93 | $245.70 – $1,088 |
| 17 | Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $982.24 | $982.24 | $982.24 – $982.24 |
| 18 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $1,684 | $1,684 | $1,684 – $1,684 |
| 19 | Cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $2,105 | $2,105 | $2,105 – $2,105 |
| 20 | Cigna commercial facility · fee schedule · outpatient | $2,502 | $2,502 | $2,502 – $2,502 |
| 21 | Bcbs Vt the vermont health plan/vermont health partnership facility · fee schedule · outpatient | $2,557 | $2,557 | $2,557 – $2,557 |
| 22 | Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $2,736 | $2,736 | $2,736 – $2,736 |
| 23 | Bcbs Vt indemnity facility · fee schedule · outpatient | $3,275 | $3,275 | $3,275 – $3,275 |
| 24 | Excellus commercial facility · percent of total billed charges · outpatientfrom % of charges | $3,450 | $3,450 | $3,450 – $3,450 |
| 25 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $3,453 | $3,453 | $3,453 – $3,453 |
Last updated: Oct 12, 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.