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/Contrast Material
Syracuse, NY
See all hospitals reporting CPT 72193 →Price type
Upstate University Hospital’s median price of $588 is 25% 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: 6 payers, 14 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 | Excellus medicare advantage facility · fee schedule · outpatient | $210.66 | $210.66 | $210.66 – $210.66 |
| 2 | Optum medicare facility · fee schedule · outpatient | $210.66 | $210.66 | $210.66 – $210.66 |
| 3 | UnitedHealthcare medicare facility · fee schedule · outpatient | $216.98 | $216.98 | $216.98 – $216.98 |
| 4 | Aetna medicare facility · fee schedule · outpatient | $219.09 | $219.09 | $219.09 – $219.09 |
| 5 | Excellus academic institutions and municipalities in onondaga county facility · fee schedule · outpatient | $460.36 | $460.36 | $460.36 – $460.36 |
| 6 | Excellus commercial/small group and individual exchange facility · fee schedule · outpatient | $469.77 | $469.77 | $469.77 – $469.77 |
| 7 | UnitedHealthcare essential plan facility · percent of total billed charges · outpatientfrom % of charges | $1,194 | $1,194 | $1,194 – $1,194 |
| 8 | UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1,194 | $1,194 | $1,194 – $1,194 |
| 9 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,029 | $2,029 | $2,029 – $2,029 |
| 10 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,292 | $2,292 | $2,292 – $2,292 |
| 11 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $4,595 | $4,595 | $4,595 – $4,595 |
| 12 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $4,595 | $4,595 | $4,595 – $4,595 |
| 13 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $5,371 | $5,371 | $5,371 – $5,371 |
| 14 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $5,371 | $5,371 | $5,371 – $5,371 |
Last updated: Sep 5, 2026
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