SelfPayRates — hospital cash prices, from the source
Cash prices at 11 facilities across 9 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 — and —.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Mercy Hospital Lincoln
TROY, MO CT Pelvis W Cont Pf |
$200.20 | $308.00 | 35% | — file |
|
| AMERICAN HEALTHCARE SYSTEMS ILLINOIS LLC
GRANITE CITY, IL CT-PELVIS W |
$362.91 | $604.85 | 40% | — file |
|
| Mercy Hospital South
SAINT LOUIS, MO CT Pelvis W Cont |
$972.40 | $1,496.00 | 35% | — file |
|
| Mercy Hospital Jefferson
FESTUS, MO CT Pelvis W Cont |
$1,372.80 | $2,112.00 | 35% | — file |
|
| Mercy Hospitals East Communities dba Mercy Hospital Washington
WASHINGTON, MO CT Pelvis W Cont |
$1,548.30 | $2,382.00 | 35% | — file |
|
| Shriners Childrens - St Louis
SAINT LOUIS, MO CT PELVIS W/DYE |
$1,644.80 | $1,644.80 | — | — file |
|
| Mercy Hospitals East Communities dba Mercy Hospital St Louis
SAINT LOUIS, MO CT Pelvis W Cont |
$1,827.15 | $2,811.00 | 35% | — file |
|
| ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS
O'FALLON, IL HC CT PELVIS W/CONTRAST |
$1,931.76 | $2,683.00 | 28% | — file |
|
| Mercy Hospital Lincoln
TROY, MO CT Pelvis W Cont |
$1,977.95 | $3,043.00 | 35% | — file |
|
| Hshs Holy Family Hospital Inc
GREENVILLE, IL HC CT PELVIS W/CONTRAST |
$2,121.12 | $2,946.00 | 28% | — file |
|
| ST JOSEPHS HOSPITAL HOSPITAL SISTERS THIRD ORDER OF ST FRANCIS
BREESE, IL HC CT PELVIS W/CONTRAST |
$2,352.96 | $3,268.00 | 28% | — file |
|
| ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS
HIGHLAND, IL HC CT PELVIS W/CONTRAST |
$2,362.32 | $3,281.00 | 28% | — file |
Outpatient: lowest $200.20, median $1,735.98, highest $2,362.32 — a 11.8× difference within the same market.
As an inpatient, the same code is billed by 7 facilities here, median $2,121.12. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.