SelfPayRates — hospital cash prices, from the source
Cash prices at 3 facilities across 2 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 Jan 28, 2026 and Mar 31, 2026.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Allen Memorial Hospital Corporation
WATERLOO, IA PR CT SCAN OF PELVIS CONTRAST |
$536.80 | $671.00 | 20% | Jan 28, 2026 file |
|
| Allen Memorial Hospital Corporation
WATERLOO, IA HC CT PELVIS W CONTRAST |
$1,158.65 | $1,448.31 | 20% | Jan 28, 2026 file |
|
| Sartori Memorial Hospital Inc
CEDAR FALLS, IA HC CT Pelvis W/Contrast |
$1,914.25 | $2,945.00 | 35% | Mar 31, 2026 file |
|
| Covenant Medical Center Inc
WATERLOO, IA HC CT Pelvis W/Contrast |
$1,914.25 | $2,945.00 | 35% | Mar 31, 2026 file |
Outpatient: lowest $536.80, median $1,536.45, highest $1,914.25 — a 3.6× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $1,536.45. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.