72193

Ct scan of pelvis with contrast

Medicare pricing data for 16,011 providers across 52 states

🤖AI Overview

Prices vary significantly by location — from $53 in West Virginia to $107 in Maryland. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Ct scan of pelvis with contrast (HCPCS code 72193) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $75.45, but hospitals typically charge $374.20 — a 5.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$15.09

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $75.45, your out-of-pocket cost would be approximately $15.09. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$75.45
Average Hospital Charge
$374.20
Markup Ratio
5.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$374.20
Medicare Allowed$75.45
Medicare Payment$57.36

Hospitals charge 5.0x more than what Medicare allows for this procedure. Medicare actually pays $57.36 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$107$361356692+41.3%
Arizona$98$588320650+29.8%
New Jersey$95$468367671+26.5%
Alaska$95$57847139+26.2%
California$93$4331,3963,077+23.8%
Florida$91$4859862,062+20.8%
Delaware$86$33858127+14.1%
New York$83$3839212,149+10.5%
District of Columbia$82$31355134+8.5%
Utah$81$289111230+6.9%
New Mexico$80$40481179+6.0%
Nevada$79$477120247+4.5%
Virginia$78$3984581,058+3.7%
Connecticut$77$317240442+2.6%
Rhode Island$77$33070142+1.6%
Tennessee$76$360385734+0.3%
Washington$75$302407926-0.1%
Oregon$75$291211480-0.3%
Texas$74$4271,0952,561-2.4%
South Carolina$72$439261544-4.0%
North Carolina$72$3756111,318-4.6%
Mississippi$71$552138308-6.0%
Colorado$70$350337773-7.4%
Iowa$69$320175381-8.0%
Hawaii$69$30966123-8.1%
Massachusetts$69$276453906-8.4%
Arkansas$68$262174373-9.5%
South Dakota$68$2505391-9.7%
Illinois$68$3866561,276-9.8%
Kansas$68$252161347-9.8%
North Dakota$68$3014878-9.9%
Minnesota$67$3315921,196-10.9%
Maine$67$29084161-11.1%
Georgia$67$373400716-11.2%
Wisconsin$65$585364727-13.6%
Pennsylvania$65$3036731,237-14.1%
Alabama$65$254217427-14.1%
Nebraska$65$282116261-14.3%
Missouri$63$3194331,018-16.7%
Idaho$62$32591200-18.0%
Indiana$62$275314660-18.1%
New Hampshire$62$36696205-18.4%
Ohio$61$329530951-18.5%
Louisiana$61$306186303-18.9%
Kentucky$61$278160288-19.2%
Michigan$60$2565361,175-20.5%
Oklahoma$59$269173371-22.1%
Montana$55$19250122-27.0%
Puerto Rico$55$1461219-27.8%
Wyoming$54$2862869-28.1%
Vermont$54$2802757-28.8%
West Virginia$53$25372130-29.6%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber