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
HC CT PELVIS W/CONTRAST
Hanover, PA
See all hospitals reporting CPT 72193 →Price type
UPMC Hanover’s median price of $575 is 22% above the median hospital's median price ($469), higher than 56% 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: 9 payers, 20 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 pa medicaid facility · fee schedule · outpatient | $113.31 | $113.31 | $113.31 – $113.31 |
| 2 | Highmark medicare facility · fee schedule · outpatient | $168.36 | $168.36 | $168.36 – $168.36 |
| 3 | Humana medicare facility · fee schedule · outpatient | $170.06 | $170.06 | $170.06 – $170.06 |
| 4 | Aetna medicare facility · fee schedule · outpatient | $177.37 | $177.37 | $177.37 – $177.37 |
| 5 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $177.91 | $177.91 | $177.91 – $177.91 |
| 6 | Cigna medicare facility · fee schedule · outpatient | $178.56 | $178.56 | $178.56 – $178.56 |
| 7 | UnitedHealthcare medicare facility · fee schedule · outpatient | $181.96 | $181.96 | $181.96 – $181.96 |
| 8 | Highmark medicaid facility · fee schedule · outpatient | $371.04 | $371.04 | $177.91 – $564.16 |
| 9 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $451.06 | $451.06 | $451.06 – $451.06 |
| 10 | Highmark commercial facility · fee schedule · outpatient | $604.90 | $604.90 | $604.90 – $604.90 |
| 11 | Cigna commercial facility · fee schedule · outpatient | $957.68 | $957.68 | $957.68 – $957.68 |
| 12 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $1,348 | $1,348 | $1,348 – $1,348 |
| 13 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $1,613 | $1,613 | $1,613 – $1,613 |
| 14 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,613 | $1,613 | $1,613 – $1,613 |
| 15 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,728 | $1,728 | $1,728 – $1,728 |
| 16 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,747 | $1,747 | $1,747 – $1,747 |
| 17 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,018 | $2,018 | $2,018 – $2,018 |
| 18 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,018 | $2,018 | $2,018 – $2,018 |
| 19 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $2,018 | $2,018 | $2,018 – $2,018 |
| 20 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $2,018 | $2,018 | $2,018 – $2,018 |
Last updated: Mar 6, 2026
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