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
Kane, PA
See all hospitals reporting CPT 72193 →Price type
UPMC Kane’s median price of $701 is 49% above the median hospital's median price ($469), higher than 61% 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: 6 payers, 23 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 chip/medicaid facility · fee schedule · outpatient | $154.10 | $154.10 | $154.10 – $154.10 |
| 2 | UnitedHealthcare unison kids facility · fee schedule · outpatient | $161.10 | $161.10 | $161.10 – $161.10 |
| 3 | Highmark medicaid facility · fee schedule · outpatient | $207.75 | $207.75 | $207.75 – $207.75 |
| 4 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $218.69 | $218.69 | $218.69 – $218.69 |
| 5 | Highmark community blue medicare advantage/complete blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $439.38 | $439.38 | $144.67 – $734.08 |
| 6 | Highmark freedom blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $439.38 | $439.38 | $144.67 – $734.08 |
| 7 | Highmark security blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $439.38 | $439.38 | $144.67 – $734.08 |
| 8 | Highmark together blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $439.38 | $439.38 | $144.67 – $734.08 |
| 9 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $451.85 | $451.85 | $148.78 – $754.91 |
| 10 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $456.95 | $456.95 | $150.46 – $763.44 |
| 11 | UnitedHealthcare unison advantage non special needs facility · percent of total billed charges · outpatientfrom % of charges | $461.34 | $461.34 | $151.90 – $770.78 |
| 12 | Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges | $474.53 | $474.53 | $156.24 – $792.81 |
| 13 | UnitedHealthcare unison advantage special needs facility · percent of total billed charges · outpatientfrom % of charges | $483.32 | $483.32 | $159.14 – $807.49 |
| 14 | UnitedHealthcare commercial facility · per diem · outpatient | $701.00 | $701.00 | $701.00 – $701.00 |
| 15 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $725.86 | $725.86 | $725.86 – $725.86 |
| 16 | Highmark managed care - social mission facility · fee schedule · outpatient | $725.86 | $725.86 | $725.86 – $725.86 |
| 17 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $831.25 | $831.25 | $273.70 – $1,389 |
| 18 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $831.25 | $831.25 | $273.70 – $1,389 |
| 19 | Highmark commercial - indemnity facility · fee schedule · outpatient | $889.10 | $889.10 | $889.10 – $889.10 |
| 20 | Highmark managed care facility · fee schedule · outpatient | $889.10 | $889.10 | $889.10 – $889.10 |
| 21 | MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · inpatientfrom % of charges | $890.63 | $890.63 | $293.25 – $1,488 |
| 22 | MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · outpatientfrom % of charges | $890.63 | $890.63 | $293.25 – $1,488 |
| 23 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $26,733 | $26,733 | $8,802 – $44,664 |
Last updated: Mar 6, 2026
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