Scans and imaging CPT 72193 Outpatient

CT scan of the pelvis, with contrast dye in San Jose-Sunnyvale-Santa Clara, CA

In San Jose-Sunnyvale-Santa Clara, CA, 5 hospitals list a cash price for CT scan of the pelvis, with contrast dye: from $2,570.75 to $6,341.00, with a median of $4,760.00. The lowest listed price is at El Camino Hospital.

Cash prices at 5 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 Mar 31, 2026 and Apr 1, 2026.

Lowest$2,570.75El Camino Hospital
Median$4,760.00half pay less
Highest$6,341.00in this market
Difference2.5×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in San Jose-Sunnyvale-Santa Clara, CA.

median
Lowest $2,570.75Highest $6,341.00

Hospitals, cheapest first

HospitalCash price List priceOff listFile date
El Camino Hospital lowest Mountain View, CA HC CT PELVIS W/CONTRAST $2,570.75 $10,283.00 75% Apr 1, 2026
source file
Kaiser Foundation Hospital - San Jose San Jose, CA CT PELVIS W/CONTRAST MATERIAL $4,760.00 $8,500.00 44%
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Kaiser Foundation Hospital - Santa Clara Santa Clara, CA CT PELVIS W/CONTRAST MATERIAL $4,760.00 $8,500.00 44%
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Stanford Health Care Stanford, CA CT Pelvis W Contrast $5,255.60 $13,139.00 60% Apr 1, 2026
source file
Lucile Salter Packard Children's Hospital at Stanford Palo Alto, CA HC CT Pelvis W Contrast $6,341.00 $12,682.00 50% Mar 31, 2026
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Outpatient: lowest $2,570.75, median $4,760.00, highest $6,341.00 — a 2.5× difference within the same market.

As an inpatient, the same code is billed by 4 facilities here, median $4,760.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

What it is

A CT scan of the pelvis with contrast uses X-rays and an injected iodine dye to make detailed pictures of the pelvic organs, bones and blood vessels. It may be used to look for causes of pelvic pain, masses or infection.

What the price covers

The hospital price usually covers the scan. The radiologist's reading is often billed separately, and the contrast dye may be listed as a separate pharmacy charge.