CT scan of pelvis with contrast dye at Wayne Memorial Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC CT PELVIS W CONT

Goldsboro, NC

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How this price compares nationally

Wayne Memorial Hospital’s median price of $773 is 65% above the median hospital's median price ($469), higher than 64% of the 2,597 hospitals reporting CPT 72193. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 72193 at Wayne Memorial Hospital

Negotiated rates from the hospital’s own file: 9 payers, 20 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	Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient	$165.80	$165.80	$165.80 – $165.80
2	Optum vaccn facility · fee schedule · outpatient	$170.93	$170.93	$170.93 – $170.93
3	Humana medicare hmo facility · fee schedule · outpatient	$174.35	$174.35	$174.35 – $174.35
4	Humana medicare ppo facility · fee schedule · outpatient	$174.35	$174.35	$174.35 – $174.35
5	Cigna medicare advantage facility · fee schedule · outpatient	$179.48	$179.48	$179.48 – $179.48
6	UnitedHealthcare medicare advantage facility · fee schedule · outpatient	$179.48	$179.48	$179.48 – $179.48
7	Aetna medicare advantage facility · fee schedule · outpatient	$181.19	$181.19	$181.19 – $181.19
8	Amerihealth Caritas managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$772.89	$772.89	$772.89 – $772.89
9	UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges	$772.89	$772.89	$772.89 – $772.89
10	WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$772.89	$772.89	$772.89 – $772.89
11	UnitedHealthcare individual exchange facility · per diem · outpatient	$1,643	$1,643	$1,643 – $1,643
12	UnitedHealthcare commercial facility · per diem · outpatient	$1,827	$1,827	$1,827 – $1,827
13	Aetna north carolina preferred facility · percent of total billed charges · outpatientfrom % of charges	$2,228	$2,228	$2,228 – $2,228
14	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$2,228	$2,228	$2,228 – $2,228
15	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$2,306	$2,306	$2,306 – $2,306
16	UnitedHealthcare individual exchange facility · percent of total billed charges · inpatientfrom % of charges	$2,313	$2,313	$2,313 – $2,313
17	Blue Cross Blue Shield blue select/blue value/hmo/ppo facility · fee schedule · outpatient	$2,529	$2,529	$2,529 – $2,529
18	Medcost commercial/ultra facility · percent of total billed charges · outpatientfrom % of charges	$2,542	$2,542	$2,542 – $2,542
19	Medcost commercial/ultra facility · percent of total billed charges · inpatientfrom % of charges	$2,573	$2,573	$2,573 – $2,573
20	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$2,699	$2,699	$2,699 – $2,699

Last updated: Jun 18, 2026

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