SelfPayRates — hospital cash prices, from the source
Cash prices at 4 facilities across 4 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 Aug 6, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Legacy Silverton Medical Center
SILVERTON, OR HC PELVIS CT WITH CONTRAST |
$622.05 | $957.00 | 35% | Apr 1, 2026 file |
|
| West Valley Hospital
DALLAS, OR HCHRG CT PELVIS W/CONTRAST |
$1,485.06 | $2,802.00 | 47% | Apr 1, 2026 file |
|
| West Valley Hospital
DALLAS, OR HCHRG CT PELVIS W/CONTRAST |
$1,485.06 | $2,802.00 | 47% | Apr 1, 2026 file |
|
| Salem Hospital
SALEM, OR HCHRG CT PELVIS W/CONTRAST |
$1,485.06 | $2,802.00 | 47% | Apr 1, 2026 file |
|
| Salem Hospital
SALEM, OR HCHRG CT PELVIS W/CONTRAST |
$1,485.06 | $2,802.00 | 47% | Apr 1, 2026 file |
|
| SANTIAM MEMORIAL HOSPITAL
STAYTON, OR CT scan of pelvis with contrast |
$1,674.56 | $1,674.56 | — | Aug 6, 2026 file |
Outpatient: lowest $622.05, median $1,485.06, highest $1,674.56 — a 2.7× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $1,485.06. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.