SelfPayRates — hospital cash prices, from the source
Cash prices at 17 facilities across 11 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 Oct 22, 2025 and Apr 1, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Ascension SE Wisconsin Hospital, Inc.
BROOKFIELD, WI HC CT PELVIS W CONTRAST |
$867.61 | $1,637.00 | 47% | — file |
|
| Ascension SE Wisconsin Hospital, Inc.
BROOKFIELD, WI HC CT PELVIS W CONTRAST |
$867.61 | $1,637.00 | 47% | — file |
|
| Riverside Methodist Hospital
COLUMBUS, OH Hc Ct Pelvis W Contrast |
$1,101.10 | $1,694.00 | 35% | Apr 1, 2026 file |
|
| Doctors Hospital
COLUMBUS, OH Hc Ct Pelvis W Contrast |
$1,101.10 | $1,694.00 | 35% | Apr 1, 2026 file |
|
| Dublin Methodist Hospital
DUBLIN, OH Hc Ct Pelvis W Contrast |
$1,101.10 | $1,694.00 | 35% | Apr 1, 2026 file |
|
| Grant Medical Center
COLUMBUS, OH Hc Ct Pelvis W Contrast |
$1,101.10 | $1,694.00 | 35% | Apr 1, 2026 file |
|
| Grove City Methodist
GROVE CITY, OH Hc Ct Pelvis W Contrast |
$1,101.10 | $1,694.00 | 35% | Apr 1, 2026 file |
|
| Pickerington Methodist Hospital
PICKERINGTON, OH Hc Ct Pelvis W Contrast |
$1,101.10 | $1,694.00 | 35% | Apr 1, 2026 file |
|
| Mount Carmel East
COLUMBUS, OH HC CT Pelvis W/Contrast |
$1,119.30 | $1,722.00 | 35% | Mar 31, 2026 file |
|
| Mount Carmel St Ann's
WESTERVILLE, OH HC CT Pelvis W/Contrast |
$1,119.30 | $1,722.00 | 35% | Mar 31, 2026 file |
|
| Mount Carmel New Albany Surgical Hospital
NEW ALBANY, OH HC CT Pelvis W/Contrast |
$1,119.30 | $1,722.00 | 35% | Mar 31, 2026 file |
|
| Diley Ridge Medical Center
CANAL WINCHESTER, OH HC CT Pelvis W/Contrast |
$1,119.30 | $1,722.00 | 35% | Mar 31, 2026 file |
|
| Mount Carmel Grove City
GROVE CITY, OH HC CT Pelvis W/Contrast |
$1,119.30 | $1,722.00 | 35% | Mar 31, 2026 file |
|
| Mount Carmel Dublin
DUBLIN, OH HC CT Pelvis W/Contrast |
$1,119.30 | $1,722.00 | 35% | Mar 31, 2026 file |
|
| Mount Carmel Grove City
GROVE CITY, OH HC CT Pelvis W/Contrast |
$1,195.35 | — | — | Mar 31, 2026 file |
|
| Grady Memorial Hospital
DELAWARE, OH Hc Ct Pelvis W Contrast |
$1,229.15 | $1,891.00 | 35% | Apr 1, 2026 file |
|
| Berger Hospital
CIRCLEVILLE, OH Hc Ct Pelvis W Contrast |
$1,389.05 | $2,137.00 | 35% | Apr 1, 2026 file |
|
| Nationwide Children's Hospital
COLUMBUS, OH PELVIS, W/ CONTRAST |
$1,494.00 | $1,660.00 | 10% | Apr 1, 2026 file |
|
| Morrow County Hospital
MOUNT GILEAD, OH CT scan of pelvis with contrast |
$1,511.71 | $2,325.70 | 35% | Oct 22, 2025 file |
Outpatient: lowest $867.61, median $1,119.30, highest $1,511.71 — a 1.7× difference within the same market.
As an inpatient, the same code is billed by 16 facilities here, median $1,119.30. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.