How much does Medicare pay for CPT 72193?

Medicare allowed an average of $65.03 per service and paid $50.09 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $362.14, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 72193?

Ct scan of pelvis with contrast. It was billed 1,405 times to 1,355 Medicare beneficiaries by 77 providers in 2024.

Does 72193 pay differently in an office than a hospital?

Yes. The allowed amount averaged $124.73 in an office setting and $53.22 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 72193 most?

Diagnostic Radiology, with 1,230 services from 69 clinicians. Next are Independent Diagnostic Testing Facility (IDTF), Interventional Radiology, Radiation Oncology.

CPT 72193

Ct scan of pelvis with contrast

$65.03Medicare-allowed amount per service, averaged across 1,405 services

Providers submitted

$362.14

Asking price, not received

Medicare allowed

$65.03

The fee schedule figure

Medicare paid

$50.09

Balance is patient coinsurance

Providers submitted an average of $362.14 for this code and Medicare allowed $65.03 — 5.6× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $50.09 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $124.73
Hospital / facility: $53.22

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 232 services were billed in an office setting and 1,173 in a facility.

Services: 1,405
Beneficiaries: 1,355
Providers billing it: 77
Total allowed: $91,367

What Medicare pays for CPT 72193

Across 1,405 services billed by 77 providers to 1,355 beneficiaries, Medicare allowed an average of $65.03 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 72193

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	1,230	1,209	$59.48	69
Independent Diagnostic Testing Facility (IDTF)	63	62	$194.96	4
Interventional Radiology	59	56	$51.87	3
Radiation Oncology	53	28	$53.98	1

72193 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Texas	221	$59.11	$45.94	9
New York	210	$57.56	$39.28	10
Virginia	196	$65.23	$51.07	9
California	178	$74.58	$52.46	10
Missouri	74	$51.18	$38.39	5
Florida	74	$71.94	$53.79	3
Michigan	60	$52.93	$37.96	5
District of Columbia	53	$56.19	$38.26	3
Illinois	52	$53.27	$41.27	3
Minnesota	39	$56.60	$38.84	3
Massachusetts	38	$115.83	$77.75	2
Pennsylvania	36	$53.13	$40.09	2
Alabama	32	$50.09	$38.69	2
Washington	22	$55.07	$28.98	2
Alaska	16	$189.04	$115.59	1
Colorado	15	$56.70	$38.23	1
North Carolina	15	$213.39	$171.54	1
Georgia	14	$50.86	$37.96	1
Maine	13	$52.88	$41.28	1
Kansas	12	$50.59	$40.98	1
Ohio	12	$51.03	$37.58	1
Nebraska	12	$46.87	$41.15	1
Tennessee	11	$47.98	$38.31	1

Related codes

72125Ct scan of upper spine without contrast$46.99
72100X-ray of lower and sacral spine$23.76
72148Mri scan of lower spinal canal without contrast$116.92
72110X-ray of lower and sacral spine$34.78
72170X-ray of pelvis$13.01
72141Mri scan of upper spinal canal without contrast$108.96
72131Ct scan of lower spine without contrast$53.06
72197Mri scan of pelvis before and after contrast$191.31
72146Mri scan of middle spinal canal without contrast$99.42
72128Ct scan of middle spine without contrast$46.63
72158Mri scan of lower spinal canal before and after contrast$149.73
72192Ct scan of pelvis without contrast$53.35

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.