CT scan of upper arm without contrast dye

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Ct, Upper Extrem W/O Contrast

Payers reporting CPT 73200

Payer pricing summary

Low

$106

Average

$1.1k

Median

$697

High

$8.4k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Anthem fee schedule · outpatient · +36 other terms	200	$418	$275	$242	88%	121–301	$2 – $1.8k
2	Blue Cross Blue Shield fee schedule · outpatient · +37 other terms	521	$280	$375	$444	118%	112–337	$1 – $7.4k
3	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$244	$244	—	—	87	$244 – $244
4	Bcbs Al facility · other · outpatient · +5 other terms	6	$197	$166	$45	27%	43–178	$118 – $302
5	UnitedHealthcare fee schedule · outpatient · +40 other terms	764	$186	$295	$475	161%	37–181	$1 – $8.0k
6	Aetna fee schedule · outpatient · +40 other terms	611	$201	$548	$590	108%	15–150	$1 – $8.4k
7	Humana fee schedule · outpatient · +36 other terms	427	$121	$310	$511	165%	15–150	$1 – $4.8k
8	Molina fee schedule · outpatient · +36 other terms	249	$133	$153	$117	77%	9–90	$1 – $1.7k
9	Cigna fee schedule · outpatient · +35 other terms	330	$291	$554	$446	81%	8–80	$26 – $5.4k
10	Aetna Better Health fee schedule · outpatient · +20 other terms	90	$115	$128	$61	48%	3–30	$56 – $441
11	Medica fee schedule · outpatient · +28 other terms	78	$113	$469	$712	152%	3–30	$38 – $2.7k
12	Optum fee schedule · outpatient · +23 other terms	70	$121	$395	$736	186%	2–20	$51 – $3.7k
13	WellCare fee schedule · outpatient · +28 other terms	205	$113	$145	$121	83%	1–10	$38 – $1.1k
14	Caresource fee schedule · outpatient · +22 other terms	96	$159	$253	$173	68%	1–10	$1 – $1.1k
15	Kaiser fee schedule · outpatient · +30 other terms	81	$174	$241	$227	94%	1–10	$47 – $1.9k
16	Wellmark facility · fee schedule · both · +25 other terms	24	$317	$365	$299	82%	1–10	$107 – $1.6k
17	Ambetter fee schedule · outpatient · +27 other terms	124	$177	$157	$90	57%	—	$42 – $856
18	MultiPlan fee schedule · outpatient · +23 other terms	101	$1.7k	$1.1k	$1.5k	133%	—	$61 – $7.7k
19	Tricare facility · fee schedule · outpatient · +21 other terms	99	$118	$159	$267	168%	—	$49 – $4.6k
20	Devoted facility · fee schedule · outpatient · +20 other terms	95	$106	$132	$221	167%	—	$90 – $4.9k
21	Highmark facility · fee schedule · outpatient · +22 other terms	77	$170	$318	$383	120%	—	$34 – $1.9k
22	Medicaid facility · fee schedule · outpatient · +19 other terms	62	$105	$127	$64	50%	—	$60 – $303
23	Oscar facility · fee schedule · outpatient · +24 other terms	54	$154	$151	$34	23%	—	$97 – $222
24	Cigna Healthspring fee schedule · outpatient · +11 other terms	47	$110	$120	$25	20%	—	$97 – $213
25	First Health fee schedule · outpatient · +22 other terms	42	$109	$447	$854	191%	—	$57 – $5.4k

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