SelfPayRates — hospital cash prices, from the source
Cash prices at 40 facilities across 28 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 28, 2025 and Sep 5, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Maimonides Medical Center
BROOKLYN, NY CT PELVIS W/CONTRAST |
$150.00 | $150.00 | — | Apr 1, 2026 file |
|
| Maimonides Medical Center
BROOKLYN, NY CONTRAST CAT SCAN OF PELVIS |
$150.00 | $150.00 | — | Apr 1, 2026 file |
|
| HMH HOSPITALS CORPORATION
BRICK, NJ CT PELVIS W/CONTRAST MATERIAL |
$178.02 | $2,640.00 | 93% | Dec 31, 2025 file |
|
| HMH HOSPITALS CORPORATION
EDISON, NJ CT PELVIS W/CONTRAST MATERIAL |
$178.02 | $2,640.00 | 93% | Dec 31, 2025 file |
|
| New York City Health and Hospitals Corporation
JAMAICA, NY CHG CT PELVIS W/CONTRAST MATERIAL |
$179.20 | $661.00 | 73% | Sep 5, 2026 file |
|
| New York City Health and Hospitals Corporation
BROOKLYN, NY CHG CT PELVIS W/CONTRAST MATERIAL |
$179.20 | $668.00 | 73% | Sep 5, 2026 file |
|
| New York City Health and Hospitals Corporation
NEW YORK, NY CHG CT PELVIS W/CONTRAST MATERIAL |
$179.20 | $653.00 | 73% | Sep 5, 2026 file |
|
| New York City Health and Hospitals Corporation
BROOKLYN, NY CHG CT PELVIS W/CONTRAST MATERIAL |
$179.20 | $668.00 | 73% | Sep 5, 2026 file |
|
| Newton Medical Center
NEWTON, NJ CT Pelvis W |
$194.52 | $10,502.11 | 98% | — file |
|
| Newton Medical Center
NEWTON, NJ CT Pelvis W |
$194.52 | $9,893.00 | 98% | — file |
|
| HMH HOSPITALS CORPORATION
HOLMDEL, NJ CT PELVIS W/CONTRAST MATERIAL |
$197.04 | $3,245.00 | 94% | Dec 31, 2025 file |
|
| Saint Marys Hospital
PASSAIC, NJ Hc Ct Scan Of Pelvis Contrast |
$207.00 | $1,541.00 | 87% | Sep 1, 2026 file |
|
| New York City Health and Hospitals Corporation
BROOKLYN, NY HC CT PELVIS W CONTRAST |
$210.66 | $640.66 | 67% | Sep 5, 2026 file |
|
| New York City Health and Hospitals Corporation
JAMAICA, NY HC CT PELVIS W CONTRAST |
$210.66 | $1,506.30 | 86% | Sep 5, 2026 file |
|
| NYC New York City Health and Hospitals Corporation
NEW YORK, NY HC CT PELVIS W CONTRAST |
$210.66 | $640.66 | 67% | Sep 5, 2026 file |
|
| New York City Health and Hospitals Corporation
NEW YORK, NY HC CT PELVIS W CONTRAST |
$210.66 | $1,506.30 | 86% | Sep 5, 2026 file |
|
| New York City Health and Hospitals Corporation
BROADWAY ELMHURST, NY HC CT PELVIS W CONTRAST |
$210.66 | $640.66 | 67% | Sep 5, 2026 file |
|
| New York City Health and Hospitals Corporation
BROOKLYN, NY HC CT PELVIS W CONTRAST |
$210.66 | $1,506.30 | 86% | Sep 5, 2026 file |
|
| New York City Health and Hospitals Corporation
BRONX, NY HC CT PELVIS W CONTRAST |
$210.66 | $1,506.30 | 86% | Sep 5, 2026 file |
|
| New York City Health and Hospitals Corporation
BRONX, NY HC CT PELVIS W CONTRAST |
$210.66 | $1,506.30 | 86% | Sep 5, 2026 file |
|
| New York City Health and Hospitals Corporation
BROOKLYN, NY HC CT PELVIS W CONTRAST |
$210.66 | $1,506.30 | 86% | Sep 5, 2026 file |
|
| New York City Health and Hospitals Corporation
BRONX, NY HC CT PELVIS W CONTRAST |
$210.66 | $640.66 | 67% | Sep 5, 2026 file |
|
| New York City Health and Hospitals Corporation
NEW YORK, NY HC CT PELVIS W CONTRAST |
$210.66 | $640.66 | 67% | Sep 5, 2026 file |
|
| CentraState Medical Center
FREEHOLD TOWNSHIP, NJ CT Pelvis W |
$223.70 | $2,875.00 | 92% | — file |
|
| University Hospital
NEWARK, NJ CT PELVIS W/CONTRAST MATERIAL |
$235.07 | $1,790.53 | 87% | Aug 13, 2026 file |
|
| CentraState Medical Center
FREEHOLD TOWNSHIP, NJ CT Pelvis W |
$237.54 | $4,384.08 | 95% | — file |
|
| Overlook Medical Center
SUMMIT, NJ CT Pelvis W |
$237.54 | $3,351.02 | 93% | — file |
|
| Overlook Medical Center
SUMMIT, NJ CT Pelvis W |
$237.54 | $3,195.00 | 93% | — file |
|
| Morristown Medical Center
MORRISTOWN, NJ CT Pelvis W |
$237.54 | $3,431.90 | 93% | — file |
|
| Morristown Medical Center
MORRISTOWN, NJ CT Pelvis W |
$237.54 | $3,258.00 | 93% | — file |
|
| Chilton Medical Center
POMPTON PLAINS, NJ CT Pelvis W |
$237.54 | $4,384.08 | 95% | — file |
|
| CentraState Medical Center
FREEHOLD TOWNSHIP, NJ CT Pelvis W |
$237.54 | $2,875.00 | 92% | — file |
|
| Chilton Medical Center
POMPTON PLAINS, NJ CT Pelvis W |
$237.54 | $4,261.00 | 94% | — file |
|
| St. Barnabas Hospital
BRONX, NY CHG CT PELVIS W/CONTRAST MATERIAL |
$273.75 | $989.42 | 72% | Feb 27, 2026 file |
|
| Memorial Hospital for Cancer and Allied Diseases
MIDDLETOWN, NJ CT Pelvis W/Contrast Material |
$305.00 | $305.00 | — | Dec 1, 2025 file |
|
| Memorial Hospital for Cancer and Allied Diseases
BROOKLYN, NY CT Pelvis W/Contrast Material|PROFESSIONAL COMPONENT |
$305.00 | $305.00 | — | Dec 1, 2025 file |
|
| Memorial Hospital for Cancer and Allied Diseases
BROOKLYN, NY CT Pelvis W/Contrast Material |
$305.00 | $305.00 | — | Dec 1, 2025 file |
|
| Memorial Hospital for Cancer and Allied Diseases
MIDDLETOWN, NJ CT Pelvis W/Contrast Material|PROFESSIONAL COMPONENT |
$305.00 | $305.00 | — | Dec 1, 2025 file |
|
| Memorial Hospital for Cancer and Allied Diseases
MONTVALE, NJ CT Pelvis W/Contrast Material|PROFESSIONAL COMPONENT |
$305.00 | $305.00 | — | Dec 1, 2025 file |
|
| Memorial Hospital for Cancer and Allied Diseases
MONTVALE, NJ CT Pelvis W/Contrast Material |
$305.00 | $305.00 | — | Dec 1, 2025 file |
|
| Memorial Hospital for Cancer and Allied Diseases
FLOOR HAUPPAUGE, NY CT Pelvis W/Contrast Material|PROFESSIONAL COMPONENT |
$305.00 | $305.00 | — | Dec 1, 2025 file |
|
| Memorial Hospital for Cancer and Allied Diseases
FLOOR HAUPPAUGE, NY CT Pelvis W/Contrast Material |
$305.00 | $305.00 | — | Dec 1, 2025 file |
|
| Englewood Health
ENGLEWOOD, NJ CT Pelvis W/Contrast Material |
$469.90 | $4,699.00 | 90% | Feb 2, 2026 file |
|
| Nassau Health Care Corporation
EAST MEADOW, NY CT PELVIS W/DYE |
$632.10 | $903.00 | 30% | Oct 28, 2025 file |
|
| Jamaica Hospital Medical Center
JAMAICA, NY CT PELVIS W/DYE |
$744.00 | $744.00 | — | — file |
|
| Flushing Hospital Medical Center
FLUSHING, NY CT PELVIS W/DYE |
$744.00 | $744.00 | — | — file |
|
| The Valley Hospital
HEALTH PLAZA PARAMUS, NJ CT PELVIS WITH C.M. |
$837.60 | $1,396.00 | 40% | — file |
|
| Nassau Health Care Corporation
EAST MEADOW, NY Ct Pelvis W/ Contrast |
$940.78 | $1,343.96 | 30% | Oct 28, 2025 file |
|
| NYU Langone
NEW YORK, NY HC CT PELVIS W/DYE |
$1,028.84 | $5,414.96 | 81% | Jan 1, 2026 file |
|
| NYU Langone
BROOKLYN, NY HC CT PELVIS W/DYE |
$1,028.84 | $5,414.96 | 81% | Jan 1, 2026 file |
|
| NYU Langone
NEW YORK, NY HC CT PELVIS W/DYE |
$1,028.84 | $5,414.96 | 81% | Jan 1, 2026 file |
|
| NYU Langone
MINEOLA, NY HC CT PELVIS W/DYE |
$1,028.84 | $5,414.96 | 81% | Jan 1, 2026 file |
|
| NYU Langone Hospital?Suffolk
PATCHOGUE, NY HC CT PELVIS W/DYE |
$1,028.84 | $5,414.96 | 81% | Jan 1, 2026 file |
|
| Memorial Hospital for Cancer and Allied Diseases
FLOOR HAUPPAUGE, NY HC CT Scan of Pelvis Contrast - CT Pelvis W Contrast |
$2,258.00 | $2,258.00 | — | Dec 1, 2025 file |
|
| Memorial Hospital for Cancer and Allied Diseases
BROOKLYN, NY HC CT Scan of Pelvis Contrast - CT Pelvis W Contrast |
$2,258.00 | $2,258.00 | — | Dec 1, 2025 file |
|
| Memorial Hospital for Cancer and Allied Diseases
MIDDLETOWN, NJ HC CT Scan of Pelvis Contrast - CT Pelvis W Contrast |
$2,258.00 | $2,258.00 | — | Dec 1, 2025 file |
|
| Memorial Hospital for Cancer and Allied Diseases
MONTVALE, NJ HC CT Scan of Pelvis Contrast - CT Pelvis W Contrast |
$2,258.00 | $2,258.00 | — | Dec 1, 2025 file |
|
| Mount Sinai Behavioral Health Center
NEW YORK, NY HC CT Pelvis W/ Contrast |
$2,340.00 | $2,600.00 | 10% | Apr 1, 2026 file |
|
| The Mount Sinai Hospital
NEW YORK, NY HC CT Pelvis W/ Contrast |
$2,340.00 | $2,600.00 | 10% | Apr 1, 2026 file |
|
| Mount Sinai Queens
LONG ISLAND, NY HC CT Pelvis W/ Contrast |
$2,340.00 | $2,600.00 | 10% | Apr 1, 2026 file |
|
| Mount Sinai Morningside
NEW YORK, NY HC CT Pelvis W/ Contrast |
$2,340.00 | $2,600.00 | 10% | Apr 1, 2026 file |
|
| Mount Sinai Brooklyn
BROOKLYN, NY HC CT Pelvis W/ Contrast |
$2,340.00 | $2,600.00 | 10% | Apr 1, 2026 file |
|
| Maimonides Medical Center
BROOKLYN, NY CT PELVIS W/CONTRAST |
$2,400.00 | $2,400.00 | — | Apr 1, 2026 file |
|
| Maimonides Medical Center
BROOKLYN, NY CT PELVIS W/ CONTRAST |
$2,400.00 | $2,400.00 | — | Apr 1, 2026 file |
|
| St Johns Riverside Hospital
PARK CARE PAVILLION YONKERS, NY CT PELVIS W/DYE |
$2,448.85 | $2,881.00 | 15% | — file |
|
| Brooklyn Hospital Center at Downtown Campus
BROOKLYN, NY CT SCAN OF PELVIS WITH CONTRAST |
$3,362.64 | $3,362.64 | — | — file |
|
| Brooklyn Hospital Center at Downtown Campus
BROOKLYN, NY CT PELVIS W/DYE |
$3,849.88 | $3,849.88 | — | — file |
|
| Stony Brook University Hospital
STONY BROOK, NY CT SCAN OF PELVIS WITH CONTRAST |
$4,370.00 | $4,370.00 | — | — file |
|
| Stony Brook Southampton Hospital
SOUTHAMPTON, NY CT SCAN OF PELVIS WITH CONTRAST |
$4,370.13 | $4,370.13 | — | — file |
|
| Stony Brook University Hospital
STONY BROOK, NY CT PELVIS W/DYE |
$4,676.00 | $4,676.00 | — | — file |
|
| Stony Brook Southampton Hospital
SOUTHAMPTON, NY CT PELVIS W/DYE |
$4,676.04 | $4,676.04 | — | — file |
Outpatient: lowest $150.00, median $305.00, highest $4,676.04 — a 31.2× difference within the same market.
As an inpatient, the same code is billed by 25 facilities here, median $469.90. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.