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/WO
Kane, PA
See all hospitals reporting CPT 72194 →Price type
UPMC Kane’s median price of $727 is 49% above the median hospital's median price ($488), higher than 61% of the 2,559 hospitals reporting CPT 72194. 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 | $175 | $175 | — | — | — | $175 – $175 |
| 2 | UnitedHealthcare unison kids facility · fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 3 | Highmark medicaid facility · fee schedule · outpatient | $236 | $236 | — | — | — | $236 – $236 |
| 4 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $248 | $248 | — | — | — | $248 – $248 |
| 5 | Highmark community blue medicare advantage/complete blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $508 | $508 | $357 | 70% | — | $151 – $865 |
| 6 | Highmark freedom blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $508 | $508 | $357 | 70% | — | $151 – $865 |
| 7 | Highmark security blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $508 | $508 | $357 | 70% | — | $151 – $865 |
| 8 | Highmark together blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $508 | $508 | $357 | 70% | — | $151 – $865 |
| 9 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $523 | $523 | $367 | 70% | — | $155 – $890 |
| 10 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $529 | $529 | $372 | 70% | — | $157 – $900 |
| 11 | UnitedHealthcare unison advantage non special needs facility · percent of total billed charges · outpatientfrom % of charges | $534 | $534 | $375 | 70% | — | $159 – $909 |
| 12 | Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges | $549 | $549 | $386 | 70% | — | $163 – $935 |
| 13 | UnitedHealthcare unison advantage special needs facility · percent of total billed charges · outpatientfrom % of charges | $559 | $559 | $393 | 70% | — | $166 – $952 |
| 14 | UnitedHealthcare commercial facility · per diem · outpatient | $701 | $701 | — | — | — | $701 – $701 |
| 15 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $727 | $727 | — | — | — | $727 – $727 |
| 16 | Highmark managed care - social mission facility · fee schedule · outpatient | $727 | $727 | — | — | — | $727 – $727 |
| 17 | Highmark commercial - indemnity facility · fee schedule · outpatient | $891 | $891 | — | — | — | $891 – $891 |
| 18 | Highmark managed care facility · fee schedule · outpatient | $891 | $891 | — | — | — | $891 – $891 |
| 19 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $961 | $961 | $676 | 70% | — | $286 – $1.6k |
| 20 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $961 | $961 | $676 | 70% | — | $286 – $1.6k |
| 21 | MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | $724 | 70% | — | $306 – $1.8k |
| 22 | MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | $724 | 70% | — | $306 – $1.8k |
| 23 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $30.9k | $30.9k | $21.7k | 70% | — | $9.2k – $52.7k |
Last updated: Mar 6, 2026
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