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 Jan 28, 2026 and Apr 1, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Aspirus Divine Savior Hospital
PORTAGE, WI Pro CT Pelvis W/Dye |
$459.55 | $707.00 | 35% | Apr 1, 2026 file |
|
| Aspirus Divine Savior Hospital
PORTAGE, WI Pelvis CT Scan With Contrast |
$2,367.95 | $3,643.00 | 35% | Apr 1, 2026 file |
|
| Aspirus Divine Savior Hospital
PORTAGE, WI CT PELVIS W/CONTRAST MATERIAL |
$2,827.50 | $4,350.00 | 35% | Apr 1, 2026 file |
|
| Meriter Hospital, Inc
MADISON, WI HC CT PELVIS W CONTRAST |
$4,905.25 | $6,131.56 | 20% | Jan 28, 2026 file |
Outpatient: lowest $459.55, median $2,597.73, highest $4,905.25 — a 10.7× difference within the same market.
As an inpatient, the same code is billed by 2 facilities here, median $2,597.73. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.