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
XT CT PELVIS W/O CONTRAST
Haven, FL
See all hospitals reporting CPT 72192 →Price type
Winter Haven Hospital’s median price of $2.6k is 696% above the median hospital's median price ($324), higher than 97% of the 2,708 hospitals reporting CPT 72192. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 47 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 | UnitedHealthcare medicaid hmo facility · case rate · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 2 | Humana medicaid hmo facility · case rate · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 3 | Molina medicaid hmo facility · case rate · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 4 | Aetna medicaid hmo facility · case rate · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 5 | Aetna commercial other facility · fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 6 | Aetna medicare ppo facility · case rate · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 7 | Blue Cross Blue Shield medicare hmo facility · case rate · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 8 | Humana commercial other facility · case rate · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 9 | UnitedHealthcare medicare hmo facility · case rate · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 10 | Aetna medicare hmo facility · case rate · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 11 | Cigna medicare hmo facility · case rate · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 12 | Humana medicare hmo facility · case rate · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 13 | WellCare medicare hmo facility · case rate · outpatient | $149 | $149 | — | — | — | $149 – $149 |
| 14 | Aetna commercial hmo facility · fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 15 | Cigna commercial hmo facility · fee schedule · outpatient | $220 | $220 | — | — | — | $220 – $220 |
| 16 | Cigna commercial ppo facility · fee schedule · outpatient | $224 | $224 | — | — | — | $224 – $224 |
| 17 | Ambetter commercial select core facility · case rate · outpatient | $240 | $240 | — | — | — | $240 – $240 |
| 18 | Ambetter commercial value facility · case rate · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 19 | Molina medicare hmo facility · percent of total billed charges · outpatientfrom % of charges | $880 | $880 | — | — | — | $880 – $880 |
| 20 | Blue Cross Blue Shield commercial hmo my blue facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 21 | Blue Cross Blue Shield commercial hmo simply blue facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 22 | Blue Cross Blue Shield commercial ppo blue select facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 23 | Aetna commercial other facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 24 | Aetna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 25 | Blue Cross Blue Shield commercial hmo health options facility · percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
Last updated: Jan 1, 2026
See CT scan of pelvis without contrast pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.