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
Victoria, TX
See all hospitals reporting CPT 72193 →Price type
Victoria of Texas LP’s median price of $308 is 34% below the median hospital's median price ($469), higher than 34% 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: 11 payers, 34 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 | Tricare node tricare facility · fee schedule · outpatient | $167.39 | $167.39 | $167.39 – $167.39 |
| 2 | Humana node humana mcr adv facility · fee schedule · outpatient | $173.38 | $173.38 | $173.38 – $173.38 |
| 3 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $173.38 | $173.38 | $173.38 – $173.38 |
| 4 | Medicaid node tx medicaid facility · fee schedule · outpatient | $175.06 | $175.06 | $175.06 – $175.06 |
| 5 | UnitedHealthcare node uhc chip medicaid tx facility · fee schedule · outpatient | $175.06 | $175.06 | $175.06 – $175.06 |
| 6 | UnitedHealthcare node uhc star kids medicaid tx facility · fee schedule · outpatient | $175.06 | $175.06 | $175.06 – $175.06 |
| 7 | UnitedHealthcare node uhc star plus medicaid tx facility · fee schedule · outpatient | $175.06 | $175.06 | $175.06 – $175.06 |
| 8 | Tricare node usfhp tricare facility · fee schedule · outpatient | $176.20 | $176.20 | $176.20 – $176.20 |
| 9 | Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient | $176.85 | $176.85 | $176.85 – $176.85 |
| 10 | Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient | $176.85 | $176.85 | $176.85 – $176.85 |
| 11 | Blue Cross Blue Shield node bcbs star medicaid tx facility · per diem · outpatient | $178.56 | $178.56 | $178.56 – $178.56 |
| 12 | Blue Cross Blue Shield node bcbs star kids medicaid tx facility · per diem · outpatient | $178.56 | $178.56 | $178.56 – $178.56 |
| 13 | Aetna node aetna mcr adv facility · other · outpatient | $178.58 | $178.58 | $178.58 – $178.58 |
| 14 | Molina node molina chip medicaid tx facility · per diem · outpatient | $183.81 | $183.81 | $183.81 – $183.81 |
| 15 | Molina node molina star medicaid tx facility · per diem · outpatient | $183.81 | $183.81 | $183.81 – $183.81 |
| 16 | Molina node molina star plus medicaid tx facility · per diem · outpatient | $183.81 | $183.81 | $183.81 – $183.81 |
| 17 | Blue Cross Blue Shield bcbs tx blue adv facility · other · outpatient | $329.79 | $329.79 | $329.79 – $329.79 |
| 18 | Superior Healthplan node superior star kids medicaid tx facility · other · outpatient | $347.40 | $347.40 | $347.40 – $347.40 |
| 19 | UnitedHealthcare node uhc health exchange facility · per diem · outpatient | $352.40 | $352.40 | $352.40 – $352.40 |
| 20 | UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient | $547.94 | $547.94 | $547.94 – $547.94 |
| 21 | Superior Healthplan node superior star medicaid tx facility · other · outpatient | $575.33 | $575.33 | $575.33 – $575.33 |
| 22 | Blue Cross Blue Shield bcbs tx hmo ppo trad facility · other · outpatient | $1,256 | $1,256 | $1,256 – $1,256 |
| 23 | Cigna cigna nbr facility · percent of total billed charges · outpatientfrom % of charges | $3,618 | $3,618 | $3,618 – $3,618 |
| 24 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $4,333 | $4,333 | $4,333 – $4,333 |
| 25 | Aetna aetna dow chemical group facility · other · outpatient | $5,017 | $5,017 | $5,017 – $5,017 |
Last updated: Apr 1, 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.