SelfPayRates — hospital cash prices, from the source
Cash prices at 7 facilities across 6 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 | |
|---|---|---|---|---|---|
| Inova Fairfax Hospital
FALLS CHURCH, VA HC CT PELVIS W IV CONT |
$796.00 | $1,592.00 | 50% | — file |
|
| Inova Alexandria Hospital
ALEXANDRIA, VA HC CT PELVIS W IV CONT |
$796.00 | $1,592.00 | 50% | — file |
|
| Inova Fair Oaks Hospital
FAIRFAX, VA HC CT PELVIS W IV CONT |
$796.00 | $1,592.00 | 50% | — file |
|
| Inova Loudoun Hospital
LEESBURG, VA HC CT PELVIS W IV CONT |
$796.00 | $1,592.00 | 50% | — file |
|
| Inova Mount Vernon Hospital
ALEXANDRIA, VA HC CT PELVIS W IV CONT |
$796.00 | $1,592.00 | 50% | — file |
|
| Jefferson Medical Center
RANSON, WV CT PELVIS W/DYE |
$850.50 | $1,701.00 | 50% | — file |
|
| Potomac Hospital Corporation of Prince William
WOODBRIDGE, VA Chgr-Ct Pelvis W / Contrast |
$1,694.00 | $3,388.00 | 50% | Apr 1, 2026 file |
Outpatient: lowest $796.00, median $796.00, highest $1,694.00 — a 2.1× difference within the same market.
As an inpatient, the same code is billed by 6 facilities here, median $796.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.