Scans and imaging CPT 72193 Outpatient

CT scan of the pelvis, with contrast dye in Appleton, WI

In Appleton, WI, 4 hospitals list a cash price for CT scan of the pelvis, with contrast dye: from $428.64 to $1,022.22, with a median of $1,002.18. The lowest listed price is at Ascension NE Wisconsin, Inc..

Cash prices at 4 facilities across 2 cities for code 72193, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.

Lowest$428.64Ascension NE Wisconsin, Inc.
Median$1,002.18half pay less
Highest$1,022.22in this market
Difference2.4×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Appleton, WI.

median
Lowest $428.64Highest $1,022.22

Hospitals, cheapest first

HospitalCash price List priceOff listFile date
Ascension NE Wisconsin, Inc. lowest Appleton, WI HC CT PELVIS W CONTRAST $428.64 $752.00 43%
source file
Ascension Calumet Hospital, Inc. Chilton, WI HC CT PELVIS W CONTRAST $823.08 $1,444.00 43%
source file
Thedacare Regional Medical Center-Appleton Inc. Appleton, WI HC CT Scan of Pelvis Contrast $1,002.18 $1,789.60 44%
source file
Thedacare Regional Medical Center-Appleton Inc Appleton, WI HC CT Scan of Pelvis Contrast $1,002.18 $1,789.60 44%
source file
Thedacare Regional Medical Center-Appleton Inc. Appleton, WI HC CT SCAN OF PELVIS CONTRAST $1,022.22 $1,825.40 44%
source file
Thedacare Regional Medical Center-Appleton Inc Appleton, WI HC CT SCAN OF PELVIS CONTRAST $1,022.22 $1,825.40 44%
source file

Outpatient: lowest $428.64, median $1,002.18, highest $1,022.22 — a 2.4× difference within the same market.

What it is

A CT scan of the pelvis with contrast uses X-rays and an injected iodine dye to make detailed pictures of the pelvic organs, bones and blood vessels. It may be used to look for causes of pelvic pain, masses or infection.

What the price covers

The hospital price usually covers the scan. The radiologist's reading is often billed separately, and the contrast dye may be listed as a separate pharmacy charge.