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 Nov 21, 2025 and Nov 21, 2025.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Aurora Medical Center Mount Pleasant
MOUNT PLEASANT, WI CT PELVIS W/DYE |
$1,570.00 | $3,140.00 | 50% | Nov 21, 2025 file |
|
| Aurora Medical Center Burlington
BURLINGTON, WI CT PELVIS W/DYE |
$1,570.00 | $3,140.00 | 50% | Nov 21, 2025 file |
Outpatient: lowest $1,570.00, median $1,570.00, highest $1,570.00.
As an inpatient, the same code is billed by 2 facilities here, median $1,570.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.