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 Chest W/O & 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 · +41 other terms | 812 | $352.64 | $470.47 | $1.00 – $8,714 |
| 2 | Aetna fee schedule · outpatient · +40 other terms | 641 | $376.12 | $806.41 | $0.51 – $8,450 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +38 other terms | 543 | $480.82 | $690.79 | $1.00 – $14,746 |
| 4 | Humana fee schedule · outpatient · +36 other terms | 461 | $214.52 | $542.42 | $1.10 – $6,354 |
| 5 | Cigna fee schedule · outpatient · +36 other terms | 370 | $564.47 | $880.18 | $47.51 – $10,515 |
| 6 | Molina fee schedule · outpatient · +35 other terms | 264 | $223.52 | $256.02 | $1.05 – $2,723 |
| 7 | Anthem fee schedule · outpatient · +35 other terms | 216 | $564.24 | $504.21 | $4.14 – $7,739 |
| 8 | WellCare fee schedule · outpatient · +28 other terms | 208 | $190.13 | $229.34 | $67.74 – $1,362 |
| 9 | MultiPlan fee schedule · outpatient · +25 other terms | 137 | $2,862 | $2,682 | $110.23 – $14,375 |
| 10 | Ambetter fee schedule · outpatient · +26 other terms | 122 | $294.55 | $296.18 | $40.70 – $2,056 |
| 11 | Devoted facility · fee schedule · outpatient · +20 other terms | 113 | $175.93 | $207.48 | $151.72 – $4,872 |
| 12 | Kaiser fee schedule · outpatient · +31 other terms | 112 | $375.99 | $757.21 | $84.79 – $9,458 |
| 13 | Tricare facility · fee schedule · outpatient · +21 other terms | 97 | $176.20 | $253.76 | $48.95 – $4,582 |
| 14 | Caresource fee schedule · outpatient · +23 other terms | 95 | $268.76 | $519.11 | $1.08 – $1,566 |
| 15 | Aetna Better Health fee schedule · outpatient · +20 other terms | 90 | $194.77 | $234.28 | $89.60 – $1,040 |
| 16 | Highmark facility · fee schedule · outpatient · +23 other terms | 87 | $321.74 | $499.92 | $63.05 – $3,325 |
| 17 | Medica fee schedule · outpatient · +29 other terms | 85 | $221.60 | $766.44 | $65.60 – $4,239 |
| 18 | Optum facility · fee schedule · outpatient · +26 other terms | 70 | $170.69 | $189.30 | $151.17 – $1,127 |
| 19 | Oscar facility · fee schedule · outpatient · +24 other terms | 69 | $276.54 | $275.19 | $162.55 – $381.16 |
| 20 | First Health fee schedule · outpatient · +24 other terms | 64 | $969.30 | $1,561 | $101.75 – $12,622 |
| 21 | Medicaid facility · fee schedule · outpatient · +21 other terms | 63 | $212.08 | $232.21 | $101.17 – $620.82 |
| 22 | Amerihealth Caritas facility · fee schedule · outpatient · +20 other terms | 57 | $360.68 | $390.41 | $169.72 – $1,146 |
| 23 | Medicare other · both · +22 other terms | 51 | $185.58 | $249.70 | $163.01 – $2,019 |
| 24 | Cigna Healthspring fee schedule · outpatient · +11 other terms | 43 | $183.81 | $197.44 | $162.83 – $355.37 |
| 25 | Clover facility · fee schedule · outpatient · +16 other terms | 36 | $184.73 | $180.70 | $152.68 – $209.65 |
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