35200013 — CTA Pelvis W/wo Contrast
Cite this view
HANK Price Transparency. (n.d.). Cta Pelvis W/WO Contrast (CDM 35200013) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/35200013?code_type=CDM
“Cta Pelvis W/WO Contrast (CDM 35200013) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/35200013?code_type=CDM. Accessed .
“Cta Pelvis W/WO Contrast (CDM 35200013) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/35200013?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $806–$9,768 (25th–75th percentile) across 2 hospitals · 13 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 35200013 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | TRICARE | 2571_TRICARE OUTPATIENT 20231001 | $215.16 | $1,793.00 | $591.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | TRICARE | 2813_TRICARE INPATIENT 20241001 | $215.16 | $1,793.00 | $591.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | SMARTHEALTH | 2917_SMARTHEALTH OP 20250101 | $340.67 | $1,793.00 | $591.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | SMARTHEALTH | 2815_SMARTHEALTH INPATIENT 20241001 | $340.67 | $1,793.00 | $591.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | BCBS HMO | 2833_JCIL BLUE CROSS BLUE SHIELD HMO 20241001 | $573.76 | $1,793.00 | $591.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | CIGNA C5 | 3023_CIGNA C5 20250101 | $609.62 | $1,793.00 | $591.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | IMAGINE HEALTH | 2829_IMAGINE HEALTH (PHIL) 20241001 | $800.00 | $1,793.00 | $591.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | IMAGINE HEALTH | 2830_IMAGINE HEALTH 20241001 | $824.00 | $1,793.00 | $591.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | IMAGINE HEALTH | 2828_IMAGINE HEALTH (JCIL) 20241001 | $824.00 | $1,793.00 | $591.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | HUMANA HMO | 2837_JCIL HUMANA HMO 20241001 | $978.00 | $1,793.00 | $591.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | UHC CHOICE | 3093_JCIL UNITED HEALTHCARE 20250701 | $1,075.80 | $1,793.00 | $591.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | UHC PPO | 3094_JCIL UNITED HEALTHCARE OPTIONS PPO 20250701 | $1,075.80 | $1,793.00 | $591.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | HUMANA PPO | 2838_JCIL HUMANA PPO 20241001 | $1,081.00 | $1,793.00 | $591.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | CIGNA ONE HEALTH | 2758_PHIL CIGNA ONE HEALTH 20240101 | $1,237.17 | $1,793.00 | $591.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Inpatient | HEALTHLINK PPO | 963_JCIL HEALTHLINK PPO 20160101 | $1,434.40 | $1,793.00 | $591.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Outpatient | CIGNA/HEALTH PARTNERS | 2526_CIGNA/HEALTH PARTNERS NON-CONTRACTED 20210101 | $1,793.00 | $1,793.00 | $591.69 | 2026-01-01 | MRF ↗ |
| PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $1,793.00 | $1,793.00 | $591.69 | 2026-01-01 | MRF ↗ |
| Arkansas Extended Care Hospital-fort Smith Inpatient | WellCare | WellCAre | $9,768.50 | $9,768.50 | $9,768.50 | 2026-06-01 | MRF ↗ |
| Arkansas Extended Care Hospital-fort Smith Inpatient | United Healthcare | United Healthcare Military | $9,768.50 | $9,768.50 | $9,768.50 | 2026-06-01 | MRF ↗ |
| Arkansas Extended Care Hospital-fort Smith Inpatient | AETNA | AETNA Medicare Advantage | $9,768.50 | $9,768.50 | $9,768.50 | 2026-06-01 | MRF ↗ |
| Arkansas Extended Care Hospital-fort Smith Inpatient | Humana | Humana Medicare Advantage | $9,768.50 | $9,768.50 | $9,768.50 | 2026-06-01 | MRF ↗ |
| Arkansas Extended Care Hospital-fort Smith Inpatient | Blue Cross Blue Shield | Blue Cross Blue Shield Medicare Advantage | $9,768.50 | $9,768.50 | $9,768.50 | 2026-06-01 | MRF ↗ |
| Arkansas Extended Care Hospital-fort Smith Inpatient | Cigna Healthspring | Cigna Healthspring Medicare Advantage | $9,768.50 | $9,768.50 | $9,768.50 | 2026-06-01 | MRF ↗ |
| Arkansas Extended Care Hospital-fort Smith Inpatient | Tricare East | Tricare East | $9,768.50 | $9,768.50 | $9,768.50 | 2026-06-01 | MRF ↗ |
| Arkansas Extended Care Hospital-fort Smith Inpatient | Christus Healthplan | Christus Healthplan Military | $9,768.50 | $9,768.50 | $9,768.50 | 2026-06-01 | MRF ↗ |
| Arkansas Extended Care Hospital-fort Smith Inpatient | Christus Healthplan | Christus Healthplan | $9,768.50 | $9,768.50 | $9,768.50 | 2026-06-01 | MRF ↗ |