CT Scan of Pelvis, With Contrast

CPT Code 72193

CT scan (computed tomography) of the pelvis using contrast material. This cost estimate includes the costs for the facility (place where the procedure was performed, including supplies and staff) and the professional (provider who interprets the scan).

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Actual driving distances may vary
Cost Data Source
Provider NameSort by Provider Name Estimate of Procedure Cost Estimate of Procedure Cost
This is an estimate of the total charge for the health care service before any discounts provided to the uninsured. Sort by Estimate of Procedure Cost		 Uninsured Discount Uninsured Discount
The minimum discount rate that the health care provider gives to the New Hampshire Insurance Department. The actual discount depends on your financial status and the health care provider’s charity care policy. Sort by Uninsured Discount		 What You Will Pay What You Will Pay
The estimated charge amount minus the uninsured discount (when available). Sort by What You Will Pay		 Typical Patient Complexity Typical Patient Complexity
This indicates how healthy or sick the patients are that receive care for this procedure at this health care provider. Some health care providers see patients that have more complex health issues or are less healthy than others, and it may be more expensive to treat them.
Statewide Averages $2,664
Dartmouth-Hitchcock Medical Center
Lebanon, NH
 $376 62% $143 Medium
Southern New Hampshire Health
Nashua, NH
 $2,939 57% $1,264 Medium
Elliot Hospital
Manchester, NH
 $3,089 59% $1,267 Medium
X-Ray Professional Association
Concord, NH
 $1,341 0% $1,341 Medium
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