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/O W
Haven, FL
See all hospitals reporting CPT 72194 →Price type
Winter Haven Hospital’s median price of $3.9k is 692% above the median hospital's median price ($488), higher than 97% of the 2,589 hospitals reporting CPT 72194. 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 | Aetna medicare ppo facility · case rate · outpatient | $179 | $179 | — | — | — | $179 – $179 |
| 2 | Blue Cross Blue Shield medicare hmo facility · case rate · outpatient | $179 | $179 | — | — | — | $179 – $179 |
| 3 | Humana commercial other facility · case rate · outpatient | $186 | $186 | — | — | — | $186 – $186 |
| 4 | UnitedHealthcare medicare hmo facility · case rate · outpatient | $191 | $191 | — | — | — | $191 – $191 |
| 5 | Aetna medicare hmo facility · case rate · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 6 | Cigna medicare hmo facility · case rate · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 7 | UnitedHealthcare medicaid hmo facility · case rate · outpatient | $211 | $211 | — | — | — | $211 – $211 |
| 8 | Humana medicaid hmo facility · case rate · outpatient | $215 | $215 | — | — | — | $215 – $215 |
| 9 | Molina medicaid hmo facility · case rate · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 10 | Aetna medicaid hmo facility · case rate · outpatient | $221 | $221 | — | — | — | $221 – $221 |
| 11 | Humana medicare hmo facility · case rate · outpatient | $223 | $223 | — | — | — | $223 – $223 |
| 12 | Aetna commercial other facility · fee schedule · outpatient | $231 | $231 | — | — | — | $231 – $231 |
| 13 | WellCare medicare hmo facility · case rate · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 14 | Ambetter commercial select core facility · case rate · outpatient | $402 | $402 | — | — | — | $402 – $402 |
| 15 | Ambetter commercial value facility · case rate · outpatient | $456 | $456 | — | — | — | $456 – $456 |
| 16 | Aetna commercial hmo facility · fee schedule · outpatient | $457 | $457 | — | — | — | $457 – $457 |
| 17 | Cigna commercial hmo facility · fee schedule · outpatient | $478 | $478 | — | — | — | $478 – $478 |
| 18 | Cigna commercial ppo facility · fee schedule · outpatient | $488 | $488 | — | — | — | $488 – $488 |
| 19 | Molina medicare hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 20 | Blue Cross Blue Shield commercial hmo my blue facility · percent of total billed charges · outpatientfrom % of charges | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 21 | Blue Cross Blue Shield commercial hmo simply blue facility · percent of total billed charges · outpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 22 | Blue Cross Blue Shield commercial ppo blue select facility · percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 23 | Aetna commercial other facility · percent of total billed charges · outpatientfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 24 | Aetna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 25 | Blue Cross Blue Shield commercial hmo health options facility · percent of total billed charges · outpatientfrom % of charges | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
Last updated: Jan 1, 2026
See CT scan of the pelvis, combination study pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.