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CT scan of the pelvis, with contrast in Appleton, WI costs $429 to $1,002. Here's every hospital's price.

3 hospitals in the Appleton, WI metro area publish a cash price for ct scan of the pelvis, with contrast (CPT 72193). We read their files every month so you don't have to.

Across the Appleton, WI metro area, 3 hospitals list a cash price for ct scan of the pelvis, with contrast (CPT 72193). The lowest is $429 at Ascension Ne Wisconsin - St Elizabeth Campus, the median is $823 and the highest is $1,002 at Thedacare Regional Medical Center - Appleton INC. The most expensive hospital lists 2.3 times the cheapest for the same code.

The Appleton, WI median of $823 is 36% below the national median of $1,283 across 1362 US hospitals with a cash price for this code.

2 of these hospitals also publish the rates they negotiated with insurers, from $59 to $650. With insurance you pay a share of the negotiated rate, which is sometimes higher than the cash price; you may ask for the cash price instead.

The files behind these prices are dated between January 2026 and August 2026.

$429
lowest cash price in Appleton, WI
Ascension Ne Wisconsin - St Elizabeth Campus · 3 mi
$394 below the median
$823
median cash price
3 hospitals
2.3×
highest ÷ lowest
same procedure, same metro
3/3
hospitals with a cash price

Sorted by cash price

Hospital facility fee only
1
Ascension Ne Wisconsin - St Elizabeth Campus

Appleton · 3 mi · File Jan 2026

$429
list $752
2
Ascension Calumet Hospital

Chilton · 21 mi · File Jan 2026

$823
list $1,444
3
Thedacare Regional Medical Center - Appleton INC

Appleton · 1 mi · File Aug 2026

$1,002
list $1,790 · lowest of 2 lines
1

What's in the price

The hospital facility fee for CPT 72193. The doctor, anesthesia and lab work usually bill separately.

2

Cash vs. insured

Cash is what you pay without insurance. With insurance you pay a share of the negotiated rate, which can be higher than cash. You may ask for the cash price.

3

What to say on the phone

"I'd like the self-pay price for CPT 72193, in writing, and whether it covers facility, physician and anesthesia."

About ct scan of the pelvis, with contrast

CPT 72193 is a CT of the pelvis with intravenous contrast. It is used for pelvic pain, suspected abscess, bladder and bowel problems and staging of some cancers. Most pelvic CTs are combined with an abdominal scan (74177); this code is for the pelvis alone.

What the price covers

The hospital's price is the technical fee for the scanner, technologist, contrast agent and room. The radiologist's reading is billed separately. Oral contrast, if used, may appear as an extra line.

Why prices vary

CT prices vary several times between hospitals in the same metro area, and hospital-owned outpatient imaging sites are usually cheaper than the main campus. If the scan is ordered in the emergency department, additional facility charges apply that are not part of this code.

Questions to ask

  • Is this the self-pay price for 72193 including contrast?
  • What is the radiologist's fee?
  • Does my doctor need abdomen and pelvis together (74177), and what does that cost instead?

Questions people ask