SelfPayRates — hospital cash prices, from the source
Cash prices at 8 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 Apr 1, 2026 and Apr 1, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Strong Memorial Hospital
ROCHESTER, NY Ct pelvis w/dye |
$208.20 | — | — | — file |
|
| Highland Hospital
ROCHESTER, NY Ct pelvis w/dye |
$208.20 | — | — | — file |
|
| Nicholas H. Noyes Memorial Hospital
DANSVILLE, NY HB CT Pelvis W/Contrast Material |
$264.00 | — | — | — file |
|
| F.F. Thompson Hospital
CANANDAIGUA, NY HB CT Pelvis W/Contrast Material |
$438.00 | — | — | — file |
|
| The Unity Hospital of Rochester
ROCHESTER, NY HC CT PELVIS W CONTRAST |
$795.04 | $993.80 | 20% | Apr 1, 2026 file |
|
| Clifton Springs Hospital And Clinic
CLIFTON SPRINGS, NY HC CT PELVIS W CONTRAST |
$799.16 | $1,229.47 | 35% | Apr 1, 2026 file |
|
| Rochester General Hospital
ROCHESTER, NY HC CT PELVIS W CONTRAST |
$845.92 | $1,301.42 | 35% | Apr 1, 2026 file |
|
| Newark-Wayne Community Hospital
NEWARK, NY HC CT PELVIS W CONTRAST |
$845.92 | $1,301.42 | 35% | Apr 1, 2026 file |
|
| Strong Memorial Hospital
ROCHESTER, NY HB CT Pelvis W/Contrast Material |
$1,301.35 | — | — | — file |
|
| Highland Hospital
ROCHESTER, NY HB CT Pelvis W/Contrast Material |
$1,301.35 | — | — | — file |
Outpatient: lowest $208.20, median $797.10, highest $1,301.35 — a 6.3× difference within the same market.
As an inpatient, the same code is billed by 4 facilities here, median $822.54. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.