SelfPayRates — hospital cash prices, from the source
Cash prices at 2 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 Jun 6, 2026 and Jun 6, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Mary Hitchcock Memorial Hospital
LEBANON, NH CT SCAN PELVIS CONTRAST |
$1,112.62 | $3,636.00 | 69% | — file |
|
| VALLEY REGIONAL HOSPITAL
CLAREMONT, NH CT PELVIS W/DYE |
$1,338.15 | $2,433.00 | 45% | Jun 6, 2026 file |
|
| VALLEY REGIONAL HOSPITAL
CLAREMONT, NH CT PELVIS W/C |
$1,338.15 | $2,433.00 | 45% | Jun 6, 2026 file |
Outpatient: lowest $1,112.62, median $1,338.15, highest $1,338.15 — a 1.2× difference within the same market.
As an inpatient, the same code is billed by 2 facilities here, median $1,338.15. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.