SelfPayRates — hospital cash prices, from the source
Cash prices at 6 facilities across 5 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 Jan 28, 2026 and Mar 31, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Trinity Medical Center
BETTENDORF, IA PR CT SCAN OF PELVIS CONTRAST |
$536.80 | $671.00 | 20% | Jan 28, 2026 file |
|
| Trinity Medical Center
ROCK ISLAND, IL PR CT SCAN OF PELVIS CONTRAST |
$536.80 | $671.00 | 20% | Jan 28, 2026 file |
|
| MercyOne Genesis Davenport West Medical Center
DAVENPORT, IA CT Pelvis w Contrast |
$1,276.20 | $2,127.00 | 40% | Mar 31, 2026 file |
|
| MercyOne Genesis Aledo Medical Center
ALEDO, IL CT Pelvis w Contrast |
$1,434.00 | $2,390.00 | 40% | Mar 31, 2026 file |
|
| MercyOne Genesis Silvis Medical Center
SILVIS, IL CT Pelvis w Contrast |
$1,434.00 | $2,390.00 | 40% | Mar 31, 2026 file |
|
| MercyOne Genesis Davenport Medical Center
DAVENPORT, IA CT Pelvis w Contrast |
$1,434.00 | $2,390.00 | 40% | Mar 31, 2026 file |
|
| Trinity Medical Center
ROCK ISLAND, IL HC CT PELVIS W CONTRAST |
$2,088.38 | $2,610.47 | 20% | Jan 28, 2026 file |
|
| Trinity Medical Center
BETTENDORF, IA HC CT PELVIS W CONTRAST |
$2,088.38 | $2,610.47 | 20% | Jan 28, 2026 file |
Outpatient: lowest $536.80, median $1,434.00, highest $2,088.38 — a 3.9× difference within the same market.
As an inpatient, the same code is billed by 4 facilities here, median $1,434.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.