CT scan of the pelvis, with contrast at Thomas Jefferson University Hospital
CPT 72193 · Philadelphia, PA
These are Thomas Jefferson University Hospital's own posted figures from its standard-charges file dated September 15, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
Across 18 Pennsylvania hospitals we index that post a cash price for this service: lowest $172.00, median $1,695.20, highest $6,264.57. See every hospital.
Nearby hospitals, same service
| Hospital | Distance | Cash price | Gross charge | File date |
|---|---|---|---|---|
| Children's Hospital of Philadelphia Philadelphia, PA | 2.2 mi | $6,264.57 | $6,264.57 | 2025-12-31 |
| Shriners Hospitals for Children - Philadelphia Philadelphia, PA | 2.2 mi | $1,849.10 | $1,849.10 | 2026-03-19 |
| Virtua Our Lady of Lourdes Hospital Camden, NJ | 2.7 mi | $660.90 | $6,609.00 | 2026-04-01 |
| St. Christopher's Hospital for Children Philadelphia, PA | 3.7 mi | $3,270.50 | $6,541.00 | 2026-06-01 |
| Jefferson Einstein Philadelphia Hospital Philadelphia, PA | 6.0 mi | $208.73 | 2026-09-15 | |
| Mercy Catholic Medical Center- Mercy Fitzgerald Darby, PA | 6.2 mi | $2,264.60 | $3,484.00 | 2026-03-31 |
| Main Line Hospital Lankenau Wynnewood, PA | 6.9 mi | $1,695.20 | $4,238.00 | 2026-04-01 |
| Roxborough Memorial Hospital Philadelphia, PA | 7.7 mi | $179.00 | $3,150.08 | 2026-09-01 |
Distances are straight-line from ZIP code centers. Each hospital's figures come from its own file; files are updated on different dates.
Every row for CPT 72193 in this hospital's file
| Row in the hospital's file | Setting | Cash | Gross | Insurer min – max |
|---|---|---|---|---|
| COMPUTERIZED AXIAL TOMOGRAPHY PELVIS; line 84297 | outpatient | $86.50 – $1,283.95 | ||
| COMPUTERIZED AXIAL TOMOGRAPHY PELVIS; mod TC line 90136 | outpatient | $86.50 – $1,283.95 | ||
| CONTRAST CAT SCAN OF PELVIS line 91981 | outpatient | $86.50 – $1,283.95 | ||
| Ct pelvis w dye line 109942 | outpatient | $86.50 – $1,283.95 | ||
| Ct pelvis w-dye mod 50 FY line 109963 | outpatient | $86.50 – $1,283.95 | ||
| Ct pelvis w-dye mod FY line 109965 | outpatient | $86.50 – $1,283.95 | ||
| Ct pelvis w-dye mod FY 50 line 109999 | outpatient | $86.50 – $1,283.95 |
The first row is the one used above. A price for one code usually covers the hospital's facility charge only; the doctor, anesthesia, pathology and other services can be billed separately. Ask the hospital for a good faith estimate before a scheduled service: if you pay yourself and the bill comes in $400 or more above the estimate, you can dispute it under the No Surprises Act.
Check a bill from this hospital All Thomas Jefferson University Hospital prices