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
Jackson, GA
See all hospitals reporting CPT 72193 →Price type
Wellstar Sylvan Grove Hospital’s median price of $465 is 1% below the median hospital's median price ($469), higher than 50% 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: 3 payers, 5 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 | Cigna hmo facility · fee schedule · outpatient | $385.65 | $385.65 | $385.65 – $385.65 |
| 2 | Cigna ppo facility · fee schedule · outpatient | $385.65 | $385.65 | $385.65 – $385.65 |
| 3 | Aetna hmo/pos/ppo facility · fee schedule · outpatient | $464.67 | $464.67 | $464.67 – $464.67 |
| 4 | Blue Cross Blue Shield shbp other commercial plan facility · fee schedule · outpatient | $518.62 | $518.62 | $518.62 – $518.62 |
| 5 | Blue Cross Blue Shield hmo/pos facility · fee schedule · outpatient | $657.06 | $657.06 | $657.06 – $657.06 |
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.