Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PR Cta Head W/O &/or W/Contrast|PROFESSIONAL COMPONENT
72 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.
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Filter by billing class
| # | |||||
|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +39 other terms | 812 | $352.64 | $474.36 | $1.00 – $8,243 |
| 2 | Aetna fee schedule · outpatient · +39 other terms | 644 | $375.90 | $809.38 | $0.51 – $8,450 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +38 other terms | 540 | $476.37 | $682.92 | $1.00 – $11,780 |
| 4 | Humana fee schedule · outpatient · +35 other terms | 461 | $214.52 | $533.73 | $1.10 – $6,929 |
| 5 | Cigna fee schedule · outpatient · +35 other terms | 367 | $564.47 | $838.97 | $45.64 – $10,515 |
| 6 | Molina fee schedule · outpatient · +35 other terms | 264 | $228.78 | $257.43 | $1.05 – $2,094 |
| 7 | Anthem fee schedule · outpatient · +35 other terms | 218 | $564.24 | $487.81 | $4.14 – $7,739 |
| 8 | WellCare fee schedule · outpatient · +28 other terms | 208 | $191.80 | $220.29 | $65.24 – $1,356 |
| 9 | MultiPlan fee schedule · outpatient · +24 other terms | 138 | $2,586 | $2,529 | $1.00 – $8,712 |
| 10 | Ambetter fee schedule · outpatient · +25 other terms | 122 | $294.55 | $291.45 | $58.42 – $1,948 |
| 11 | Devoted facility · fee schedule · outpatient · +20 other terms | 113 | $175.93 | $203.94 | $151.72 – $4,872 |
| 12 | Kaiser fee schedule · outpatient · +30 other terms | 112 | $375.99 | $730.03 | $81.66 – $7,350 |
| 13 | Tricare facility · fee schedule · outpatient · +22 other terms | 98 | $176.25 | $241.92 | $48.95 – $4,582 |
| 14 | Caresource fee schedule · outpatient · +23 other terms | 95 | $268.76 | $605.24 | $1.08 – $1,389 |
| 15 | Aetna Better Health fee schedule · outpatient · +20 other terms | 90 | $194.77 | $230.65 | $89.60 – $956.39 |
| 16 | Highmark facility · fee schedule · outpatient · +23 other terms | 89 | $317.43 | $473.05 | $60.22 – $2,893 |
| 17 | Medica fee schedule · outpatient · +29 other terms | 82 | $246.84 | $745.92 | $66.54 – $4,604 |
| 18 | Optum facility · fee schedule · outpatient · +26 other terms | 70 | $170.69 | $189.35 | $151.17 – $1,127 |
| 19 | Oscar facility · fee schedule · outpatient · +24 other terms | 70 | $277.45 | $304.13 | $162.55 – $494.05 |
| 20 | First Health fee schedule · outpatient · +23 other terms | 64 | $1,109 | $1,568 | $97.99 – $8,712 |
| 21 | Medicaid facility · fee schedule · outpatient · +21 other terms | 63 | $191.93 | $222.84 | $101.17 – $620.82 |
| 22 | Amerihealth Caritas facility · fee schedule · outpatient · +20 other terms | 57 | $326.30 | $350.32 | $169.72 – $1,053 |
| 23 | Medicare other · both · +22 other terms | 52 | $185.58 | $256.79 | $163.01 – $2,450 |
| 24 | Cigna Healthspring fee schedule · outpatient · +11 other terms | 43 | $183.81 | $197.09 | $162.83 – $355.37 |
| 25 | Clover facility · fee schedule · outpatient · +16 other terms | 36 | $184.73 | $181.89 | $152.68 – $209.65 |
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