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/DYE
Ord, NE
See all hospitals reporting CPT 72193 →Price type
Valley County Hospital’s median price of $263 is 44% below the median hospital's median price ($469), higher than 26% 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: 8 payers, 30 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 | Bcbs Ne medicare advantage professional · fee schedule · both | $158.71 | $139.78 | $50.96 – $209.67 |
| 2 | Medica medicare advantage professional · fee schedule · both | $158.71 | $139.78 | $50.96 – $209.67 |
| 3 | UnitedHealthcare medicare advantage professional · fee schedule · both | $158.71 | $139.78 | $50.96 – $209.67 |
| 4 | Humana medicare advantage professional · fee schedule · both | $161.88 | $142.57 | $51.98 – $213.86 |
| 5 | WellCare medicare advantage/dual needs plan professional · fee schedule · both | $163.47 | $143.97 | $52.49 – $215.96 |
| 6 | Aetna medicare advantage professional · fee schedule · both | $166.65 | $146.77 | $53.51 – $220.15 |
| 7 | UnitedHealthcare managed medicaid professional · fee schedule · both | $196.49 | $196.49 | $64.62 – $328.36 |
| 8 | Molina managed medicaid/chip professional · fee schedule · both | $198.42 | $198.42 | $65.25 – $331.58 |
| 9 | Molina dual eligible plan professional · fee schedule · both | $202.27 | $202.27 | $66.52 – $338.02 |
| 10 | Medica individual and family business plans professional · fee schedule · both | $305.04 | $268.66 | $97.95 – $402.99 |
| 11 | Bcbs Ne commercial professional · case rate · both | $312.55 | $275.27 | $100.36 – $412.90 |
| 12 | Medica commercial plans/care system products professional · fee schedule · both | $321.26 | $282.94 | $103.15 – $424.41 |
| 13 | MultiPlan primary/complementary ppo professional · fee schedule · both | $512.63 | $451.49 | $164.60 – $677.23 |
| 14 | Bcbs Ne medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $607.60 | $607.60 | $607.60 – $607.60 |
| 15 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $607.60 | $607.60 | $607.60 – $607.60 |
| 16 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $607.60 | $607.60 | $607.60 – $607.60 |
| 17 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $619.75 | $619.75 | $619.75 – $619.75 |
| 18 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1,458 | $1,458 | $1,458 – $1,458 |
| 19 | Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $1,565 | $1,565 | $1,565 – $1,565 |
| 20 | Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges | $1,595 | $1,595 | $1,595 – $1,595 |
| 21 | WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges | $1,658 | $1,658 | $1,658 – $1,658 |
| 22 | Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges | $2,765 | $2,765 | $2,765 – $2,765 |
| 23 | Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges | $2,765 | $2,765 | $2,765 – $2,765 |
| 24 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $2,916 | $2,916 | $2,916 – $2,916 |
| 25 | Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,916 | $2,916 | $2,916 – $2,916 |
Last updated: Jun 15, 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.