# CT scan, pelvis, without contrast in GA

Billing code `72192`. Prices for this code at 113 hospitals in GA, taken from the machine-readable standard charge files each hospital is required to publish under the CMS Hospital Price Transparency Rule (45 CFR 180.50).

Source page: https://clearcharge.org/price/ga/ct-scan-pelvis-without-contrast

HC CT SCAN,PELVIS,W/O CONTRAST - CT PELVIS WO CONTRAST

## Before quoting any figure below

- **Hospital charges only.** The surgeon, anaesthetist, radiologist and pathologist bill separately and appear in no hospital price file, by construction. Every figure below is part of a total, never the total.
- **A negotiated rate is not a bill.** It is what a hospital and an insurer agreed. What a patient owes depends on their deductible, coinsurance and out-of-pocket maximum.
- **Each hospital's figure is a median across its own plans.** The spread inside one hospital is often wider than the gap between two of them.
- **"not mentioned" is not $0.** It means this hospital's file does not label a row that way. Silence is not a statement that the charge does not exist.
- **A hospital absent from the table says nothing about its prices.** It may publish this code under a revenue or drug code this site cannot map to a procedure.

A procedure code is billed twice -- once by the hospital for its own costs, once by the doctor for their work -- and hospitals publish different sides of that split under the same code. Of the hospitals here, 47 publish a facility charge; 8 publish both, mixed together; 58 do not label which half the figure is.

## Typical price

|  | Amount |
|---|---|
| Cheapest tenth | $107 |
| Typical | $304 |
| Dearest tenth | $1,342 |

The cheapest and dearest tenth are the hospitals a tenth of the way in from each end, not the single cheapest and dearest. Every hospital, including both extremes, is in the table below.

That is a 12-fold difference for the same billing code -- a gap between hospitals, not between treatments.

## Every hospital publishing this code

| Hospital | Where | CMS rating | Typical | Facility charge | Physician fee | Self-pay | Lowest | Highest | Plans on file |
|---|---|---|---|---|---|---|---|---|---|
| Liberty Regional Medical Center | HINESVILLE | not rated | $76 | not mentioned | not mentioned | $338 | $73 | $338 | 6 |
| Memorial Health University Medical Center | SAVANNAH | 1/5 | $84 | not mentioned | not mentioned | $1,904 | $27 | $1,714 | 183 |
| Jasper Memorial Hospital | MONTICELLO | not rated | $85 | not mentioned | not mentioned | $606 | $54 | $90 | 19 |
| Grady Memorial Hospital | ATLANTA | 2/5 | see split | $648 | $80 | $4,157 | $48 | $3,326 | 120 |
| SGMC Health Lanier | LAKELAND | not rated | $93 | $93 | not mentioned | $597 | $92 | $137 | 3 |
| Optim Medical Center - Screven | SYLVANIA | not rated | $93 | $93 | not mentioned | $1,135 | $92 | $252 | 20 |
| Northeast Georgia Medical Center Habersham | DEMOREST | 3/5 | $96 | $96 | not mentioned | $982 | $92 | $638 | 7 |
| St Francis Hospital- Emory Healthcare | COLUMBUS | 3/5 | $96 | $96 | not mentioned | not published | $67 | $579 | 11 |
| Emory Houston Hospital Warner Robins | WARNER ROBINS | 2/5 | $98 | $98 | not mentioned | $1,275 | $94 | $383 | 9 |
| SGMC Health | VALDOSTA | 2/5 | $100 | $100 | not mentioned | $597 | $72 | $119 | 4 |
| Northeast Georgia Medical Center | GAINESVILLE | 3/5 | $107 | $107 | not mentioned | $982 | $103 | $525 | 6 |
| Tanner Medical Center - Carrollton | CARROLLTON | 2/5 | $107 | $107 | not mentioned | $902 | $104 | $115 | 20 |
| Southern Regional Medical Center | RIVERDALE | 1/5 | $107 | not mentioned | not mentioned | $104 | $99 | $2,289 | 41 |
| NGMC Barrow | WINDER | 4/5 | $109 | $109 | not mentioned | $982 | $105 | $525 | 6 |
| SGMC Berrien Campus | NASHVILLE | not rated | $109 | $109 | not mentioned | $597 | $91 | $137 | 3 |
| Northeast Georgia Medical Center Lumpkin | DAHLONEGA | 5/5 | $113 | $113 | not mentioned | $982 | $108 | $525 | 6 |
| Phoebe Sumter Medical Center | AMERICUS | 3/5 | $115 | $115 | not mentioned | not published | $92 | $250 | 8 |
| Hamilton Medical Center | DALTON | 3/5 | $116 | $116 | not mentioned | $3,518 | $108 | $124 | 2 |
| AdventHealth Murray | CHATSWORTH | 5/5 | $123 | $123 | not mentioned | $2,249 | $97 | $363 | 6 |
| Jefferson Hospital | LOUISVILLE | not rated | $124 | not mentioned | not mentioned | $114 | $56 | $177 | 80 |
| Phoebe Putney Memorial Hospital | ALBANY | 2/5 | $126 | $126 | not mentioned | not published | $101 | $250 | 8 |
| Candler Hospital | SAVANNAH | 2/5 | $128 | $128 | not mentioned | $442 | $92 | $1,257 | 9 |
| St Joseph's Hospital - Savannah | SAVANNAH | 2/5 | $128 | $128 | not mentioned | $442 | $92 | $1,257 | 9 |
| AdventHealth Gordon | CALHOUN | 3/5 | $134 | $134 | not mentioned | $2,249 | $104 | $621 | 8 |
| Donalsonville Hospital | DONALSONVILLE | not rated | $135 | not mentioned | not mentioned | $1,847 | $102 | $1,847 | 14 |
| Emory Hillandale Hospital | LITHONIA | 1/5 | $135 | $135 | not mentioned | $1,289 | $105 | $711 | 12 |
| Memorial Satilla Health | WAYCROSS | 3/5 | $143 | not mentioned | not mentioned | $3,463 | $77 | $3,117 | 152 |
| Navicent Health Baldwin | MILLEDGEVILLE | 2/5 | see split | $964 | $120 | $634 | $48 | $2,193 | 85 |
| Crisp Regional Hospital | CORDELE | 2/5 | $153 | $153 | not mentioned | $1,483 | $127 | $166 | 3 |
| Fairview Park Hospital | DUBLIN | 4/5 | $154 | not mentioned | not mentioned | $5,808 | $67 | $5,227 | 187 |
| Doctors Hospital | AUGUSTA | 3/5 | $156 | not mentioned | not mentioned | $7,053 | $73 | $6,347 | 201 |
| Memorial Health Meadows Hospital | VIDALIA | 5/5 | $160 | not mentioned | not mentioned | $4,820 | $125 | $4,338 | 64 |
| Emory University Hospital | ATLANTA | 4/5 | $160 | $160 | not mentioned | $1,289 | $105 | $711 | 13 |
| Emory Johns Creek Hospital | JOHNS CREEK | 4/5 | $160 | $160 | not mentioned | $1,289 | $106 | $711 | 13 |
| Saint Joseph's Hospital of Atlanta | ATLANTA | 3/5 | $160 | $160 | not mentioned | $1,289 | $106 | $711 | 13 |
| Emory Decatur Hospital | DECATUR | 2/5 | $160 | $160 | not mentioned | $1,289 | $105 | $711 | 13 |
| Emory University Hospital Midtown | ATLANTA | 2/5 | $160 | $160 | not mentioned | $1,289 | $106 | $711 | 13 |
| Atrium Health Navicent the Medical Center | MACON | 2/5 | see split | $1,402 | $123 | $1,190 | $48 | $2,214 | 91 |
| AdventHealth Redmond | ROME | 4/5 | $163 | $163 | not mentioned | $9,009 | $109 | $331 | 7 |
| WellStar MCG Health, Affiliated with Med Col | AUGUSTA | 1/5 | $165 | $165 | not mentioned | $1,310 | $92 | $453 | 20 |
| WellStar West Georgia Medical Center | LAGRANGE | 5/5 | $190 | $190 | not mentioned | $1,310 | $103 | $400 | 13 |
| WellStar Spalding Medical Center | GRIFFIN | 2/5 | $194 | $194 | not mentioned | $1,310 | $105 | $400 | 13 |
| WellStar Douglas Medical Center | DOUGLASVILLE | 3/5 | $200 | $200 | not mentioned | $1,310 | $105 | $400 | 12 |
| WellStar Kennestone Regional Medical Center | MARIETTA | 4/5 | $202 | $202 | not mentioned | $1,310 | $106 | $399 | 12 |
| WellStar Paulding Medical Center | HIRAM | 4/5 | $202 | $202 | not mentioned | $1,310 | $106 | $399 | 12 |
| WellStar Cobb Medical Center | AUSTELL | 3/5 | $202 | $202 | not mentioned | $1,310 | $106 | $414 | 12 |
| WellStar North Fulton Medical Center | ROSWELL | 2/5 | $202 | $202 | not mentioned | $1,310 | $106 | $405 | 12 |
| Taylor Regional Hospital | HAWKINSVILLE | not rated | see split | $214 | $176 | $1,150 | $118 | $432 | 8 |
| Bacon County Hospital | ALMA | not rated | $249 | $249 | not mentioned | $1,842 | $101 | $257 | 9 |
| Phoebe Worth Medical Center | SYLVESTER | not rated | $250 | $250 | not mentioned | not published | $250 | $250 | 1 |
| Atrium Health Navicent Peach | BYRON | 1/5 | see split | $796 | $138 | $612 | $55 | $1,138 | 86 |
| Coffee Regional Medical Center | DOUGLAS | 3/5 | see split | $374 | $129 | $1,280 | $97 | $1,788 | 76 |
| WellStar Sylvan Grove Medical Center | JACKSON | not rated | $260 | $260 | not mentioned | $1,310 | $210 | $393 | 5 |
| Washington County Regional Medical Center | SANDERSVILLE | not rated | $282 | not mentioned | not mentioned | $202 | $92 | $646 | 25 |
| Chi Memorial Hospital- Georgia | RINGGOLD | 3/5 | $302 | not mentioned | not mentioned | $501 | $95 | $1,467 | 31 |
| Appling Healthcare | BAXLEY | not rated | $303 | not mentioned | not mentioned | $314 | $98 | $650 | 10 |
| East Georgia Regional Medical Center | STATESBORO | 3/5 | $304 | $304 | not mentioned | $1,774 | $94 | $4,308 | 98 |
| St Mary's Hospital | ATHENS | 1/5 | $311 | $311 | not mentioned | $1,439 | $101 | $1,993 | 107 |
| Southwell Medical, a Campus of TRMC | ADEL | not rated | see split | $374 | $192 | $1,025 | $72 | $2,050 | 92 |
| Bleckley Memorial Hospital | COCHRAN | not rated | $384 | $384 | not mentioned | $284 | $370 | $733 | 14 |
| Jeff Davis Hospital | HAZLEHURST | not rated | $400 | not mentioned | not mentioned | $408 | $197 | $898 | 19 |
| Blue Ridge Medical Center | BLUE RIDGE | not rated | $418 | not mentioned | not mentioned | $1,255 | $124 | $2,092 | 792 |
| Monroe County Hospital | FORSYTH | not rated | $424 | not mentioned | not mentioned | $205 | $138 | $1,025 | 50 |
| Putnam General Hospital | EATONTON | not rated | $446 | not mentioned | not mentioned | $455 | $120 | $774 | 13 |
| Optim Medical Center - Tattnall | REIDSVILLE | not rated | $450 | $450 | not mentioned | $1,135 | $252 | $480 | 3 |
| Stephens County Hospital | TOCCOA | 2/5 | $458 | not mentioned | not mentioned | $855 | $103 | $1,283 | 20 |
| Tift Regional Medical Center | TIFTON | 3/5 | see split | $472 | $192 | $1,025 | $74 | $2,050 | 46 |
| Ty Cobb Regional Medical Center | LAVONIA | 3/5 | $504 | $504 | not mentioned | $968 | $90 | $1,266 | 104 |
| Piedmont Columbus Regional Northside | COLUMBUS | 5/5 | $521 | not mentioned | not mentioned | $817 | $262 | $2,316 | 16 |
| Evans Memorial Hospital | CLAXTON | not rated | $523 | not mentioned | not mentioned | not published | $91 | $2,818 | 11 |
| Atrium Health Floyd Medical Center | ROME | 2/5 | $534 | $534 | not mentioned | $1,462 | $104 | $2,485 | 38 |
| Mountain Lakes Medical Center | CLAYTON | not rated | $536 | $536 | not mentioned | $487 | $220 | $852 | 2 |
| Piedmont Columbus Regional Midtown | COLUMBUS | 2/5 | $567 | not mentioned | not mentioned | $817 | $262 | $2,725 | 17 |
| Wills Memorial Hospital | WASHINGTON | not rated | $570 | not mentioned | not mentioned | $633 | $561 | $769 | 14 |
| St Marys Good Samaritan Hospital | GREENSBORO | 4/5 | $595 | $595 | not mentioned | $1,357 | $450 | $1,879 | 32 |
| Candler County Hospital | METTER | not rated | $639 | not mentioned | not mentioned | not published | $48 | $1,686 | 13 |
| Piedmont Walton Hospital | MONROE | 4/5 | $742 | not mentioned | not mentioned | $1,060 | $262 | $3,181 | 15 |
| Piedmont Mountainside Hospital | JASPER | 4/5 | $742 | not mentioned | not mentioned | $1,060 | $262 | $3,004 | 15 |
| Southeast Georgia Health System- Brunswick Campus | BRUNSWICK | 2/5 | $757 | not mentioned | not mentioned | not published | $48 | $1,098 | 32 |
| Southeast Georgia Health System -- Camden Campus | SAINT MARYS | 4/5 | $757 | not mentioned | not mentioned | not published | $48 | $1,098 | 32 |
| Union General Hospital | BLAIRSVILLE | 3/5 | $798 | not mentioned | not mentioned | $945 | $98 | $1,606 | 36 |
| Morgan Medical Center | MADISON | not rated | $800 | not mentioned | not mentioned | not published | $566 | $1,265 | 9 |
| Memorial Hospital and Manor | BAINBRIDGE | 1/5 | $815 | not mentioned | not mentioned | $884 | $85 | $1,200 | 24 |
| Dodge County Hospital | EASTMAN | not rated | $822 | not mentioned | not mentioned | not published | $91 | $1,890 | 11 |
| Chatuge Regional Hospital | HIAWASSEE | not rated | $875 | not mentioned | not mentioned | $827 | $364 | $1,406 | 18 |
| Clinch Memorial Hospital | HOMERVILLE | not rated | $945 | $945 | not mentioned | $498 | $796 | $995 | 38 |
| Atrium Health Floyd Polk Medical Center | CEDARTOWN | not rated | $963 | $963 | not mentioned | $2,106 | $207 | $3,790 | 36 |
| Piedmont Augusta Hospital | AUGUSTA | 2/5 | $1,008 | not mentioned | not mentioned | $817 | $262 | $2,452 | 21 |
| Effingham Health System | SPRINGFIELD | not rated | $1,042 | not mentioned | not mentioned | $2,418 | $337 | $3,534 | 14 |
| University Mcduffie County Regional Medical Center | THOMSON | not rated | $1,047 | not mentioned | not mentioned | $817 | $262 | $2,452 | 16 |
| Dorminy Medical Center | FITZGERALD | not rated | $1,066 | not mentioned | not mentioned | $606 | $387 | $1,151 | 27 |
| Northside Hospital Cherokee | CANTON | 4/5 | $1,128 | not mentioned | not mentioned | $3,408 | $81 | $4,544 | 135 |
| Northside Hospital | ATLANTA | 3/5 | $1,134 | not mentioned | not mentioned | $3,408 | $81 | $4,544 | 134 |
| Northside Hospital Forsyth | CUMMING | 4/5 | $1,141 | not mentioned | not mentioned | $3,408 | $81 | $4,544 | 133 |
| Northside Hospital Duluth | DULUTH | 4/5 | $1,269 | not mentioned | not mentioned | $3,408 | $81 | $4,544 | 140 |
| Northside Hospital Gwinnett | LAWRENCEVILLE | 3/5 | $1,269 | not mentioned | not mentioned | $3,408 | $81 | $4,544 | 140 |
| Wayne Memorial Hospital | JESUP | 3/5 | $1,272 | not mentioned | not mentioned | $834 | $1,026 | $1,502 | 18 |
| Piedmont Athens Regional Medical Center | ATHENS | 4/5 | $1,338 | not mentioned | not mentioned | $1,060 | $262 | $2,898 | 16 |
| Piedmont Fayette Hospital | FAYETTEVILLE | 3/5 | $1,342 | not mentioned | not mentioned | $1,060 | $262 | $3,004 | 16 |
| Piedmont Hospital | ATLANTA | 4/5 | $1,342 | not mentioned | not mentioned | $1,060 | $262 | $3,004 | 16 |
| Piedmont Henry Hospital | STOCKBRIDGE | 2/5 | $1,342 | not mentioned | not mentioned | $1,060 | $262 | $3,004 | 16 |
| Piedmont Newnan Hospital | NEWNAN | 4/5 | $1,342 | not mentioned | not mentioned | $1,060 | $262 | $3,287 | 16 |
| Tanner Medical Center Villa Rica | VILLA RICA | 3/5 | $1,354 | not mentioned | not mentioned | $1,354 | $490 | $2,098 | 17 |
| Piedmont Rockdale Hospital | CONYERS | 3/5 | $1,378 | not mentioned | not mentioned | $1,060 | $262 | $2,651 | 16 |
| Piedmont Cartersville Medical Center | CARTERSVILLE | 3/5 | $1,441 | not mentioned | not mentioned | $1,885 | $262 | $5,655 | 16 |
| Piedmont Newton Hospital | COVINGTON | 3/5 | $1,933 | not mentioned | not mentioned | $1,060 | $262 | $3,004 | 15 |
| Piedmont Eastside Medical Center | SNELLVILLE | 2/5 | $1,941 | not mentioned | not mentioned | $1,060 | $262 | $3,181 | 15 |
| Coliseum Medical Centers | MACON | 3/5 | $1,941 | not mentioned | not mentioned | $1,060 | $242 | $3,181 | 14 |
| Piedmont Macon North Hospital | MACON | 4/5 | $1,941 | not mentioned | not mentioned | $1,060 | $262 | $3,181 | 14 |
| Athur M Blank Hospital | ATLANTA | not rated | $2,151 | not mentioned | not mentioned | $3,138 | $1,341 | $3,138 | 28 |
| Children's Healthcare of Atlanta at Scottish Rite | ATLANTA | not rated | $2,151 | not mentioned | not mentioned | $3,138 | $1,312 | $3,138 | 28 |
| Colquitt Regional Medical Center | MOULTRIE | 4/5 | $2,763 | not mentioned | not mentioned | $2,931 | $51 | $2,931 | 96 |
| Emanuel Medical Center | SWAINSBORO | 4/5 | $2,790 | not mentioned | not mentioned | $3,571 | $36 | $4,762 | 16 |

## Self-pay

Self-pay is what the hospital charges someone paying themselves rather than through insurance. Paying self-pay usually does not count toward a deductible, so it can cost less for one service and more across a year. Every other figure here is what an insurer pays, not what a patient would.

At 22 of the 103 hospitals here that publish a self-pay price it is LOWER than what that same hospital typically accepts from an insurer; at the other 81 it is higher.

## The doctor's side, roughly

Nationally, Medicare allows about $51 for the clinician who performs or reads this service, across 5,342 billing providers in 2024. That is a separate bill from everything above and is NOT added to any figure on this page -- it is here to show the rough size of what a hospital price leaves out.

7 of these 113 hospitals have not published an updated price file in over a year, or do not say when they last did. Hospitals are required to update at least annually, so those figures may not reflect what they charge now: Jefferson Hospital, Donalsonville Hospital, Jeff Davis Hospital, Monroe County Hospital, Southeast Georgia Health System- Brunswick Campus, Southeast Georgia Health System -- Camden Campus, Tanner Medical Center Villa Rica.

## Others in imaging & radiology

- [CT scan, head, without contrast](https://clearcharge.org/price/ga/ct-scan-head-without-contrast) -- 116 hospitals, typically $392
- [X-ray, chest, 2 views](https://clearcharge.org/price/ga/x-ray-chest-2-views) -- 115 hospitals, typically $93
- [CT scan, head, with and without contrast](https://clearcharge.org/price/ga/ct-scan-head-with-and-without-contrast) -- 115 hospitals, typically $521
- [X-ray, chest, 1 view](https://clearcharge.org/price/ga/x-ray-chest-1-view) -- 115 hospitals, typically $87
- [X-ray, neck spine, 2-3 views](https://clearcharge.org/price/ga/x-ray-neck-spine-2-3-views) -- 115 hospitals, typically $106
- [X-ray, lower back spine, 4 or more views](https://clearcharge.org/price/ga/x-ray-lower-back-spine-4-or-more-views) -- 115 hospitals, typically $143
- [X-ray, pelvis](https://clearcharge.org/price/ga/x-ray-pelvis) -- 115 hospitals, typically $107
- [X-ray, tailbone](https://clearcharge.org/price/ga/x-ray-tailbone) -- 115 hospitals, typically $98

---

Every procedure with a published price in GA: https://clearcharge.org/price/ga
Prices that look wrong: info@clearcharge.org

Compiled by Clearcharge (clearcharge.org) from each hospital's machine-readable standard-charge file. When quoting a figure, cite the source page above. The hospital files behind these figures state data through dates from 2024-07-01 to 2026-07-28; per-hospital staleness is flagged above.