CT upper extremity scan with 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

HC CT UPPER EXTREMITY W/CONTRAST

Payers reporting CPT 73201

Payer pricing summary

Low

$144

Average

$1.4k

Median

$972

High

$9.0k

Payer rate distribution

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#
1	Bcbs Al facility · other · outpatient · +5 other terms	6	$463	$365	$101	28%	29–290	$305 – $694
2	Blue Cross Blue Shield fee schedule · outpatient · +38 other terms	512	$664	$726	$638	88%	24–42	$1 – $7.1k
3	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$601	$601	$219	36%	23–32	$382 – $820
4	Anthem fee schedule · outpatient · +35 other terms	191	$539	$348	$317	91%	10–100	$8 – $2.6k
5	Humana fee schedule · outpatient · +35 other terms	425	$372	$485	$550	114%	7–70	$1 – $6.0k
6	UnitedHealthcare fee schedule · outpatient · +39 other terms	750	$523	$566	$599	106%	6–60	$1 – $10.5k
7	Medicare other · both · +22 other terms	41	$369	$396	$104	26%	5–50	$326 – $1.1k
8	Aetna fee schedule · outpatient · +39 other terms	607	$421	$715	$660	92%	3–30	$1 – $8.4k
9	Molina fee schedule · outpatient · +35 other terms	250	$368	$342	$167	49%	2–20	$1 – $1.7k
10	Cigna fee schedule · outpatient · +36 other terms	328	$523	$678	$575	85%	1–10	$1 – $9.2k
11	WellCare fee schedule · outpatient · +28 other terms	200	$372	$349	$137	39%	—	$43 – $1.2k
12	Ambetter fee schedule · outpatient · +25 other terms	122	$540	$433	$249	57%	—	$45 – $1.4k
13	MultiPlan fee schedule · outpatient · +23 other terms	99	$2.0k	$1.3k	$1.7k	128%	—	$71 – $9.3k
14	Tricare facility · fee schedule · outpatient · +21 other terms	99	$351	$396	$260	66%	—	$108 – $4.6k
15	Caresource fee schedule · outpatient · +22 other terms	95	$359	$386	$179	46%	—	$1 – $1.2k
16	Devoted facility · fee schedule · outpatient · +20 other terms	94	$350	$379	$212	56%	—	$302 – $4.9k
17	Aetna Better Health fee schedule · outpatient · +19 other terms	89	$227	$269	$116	43%	—	$186 – $1.3k
18	Kaiser fee schedule · outpatient · +29 other terms	81	$497	$502	$468	93%	—	$54 – $3.2k
19	Highmark facility · fee schedule · outpatient · +22 other terms	77	$409	$523	$425	81%	—	$41 – $2.2k
20	Optum fee schedule · outpatient · +24 other terms	70	$371	$644	$895	139%	—	$58 – $4.6k
21	Medica fee schedule · outpatient · +27 other terms	64	$358	$650	$794	122%	—	$44 – $3.0k
22	Medicaid facility · fee schedule · outpatient · +21 other terms	62	$214	$247	$117	47%	—	$83 – $572
23	Oscar facility · fee schedule · outpatient · +24 other terms	54	$491	$439	$114	26%	—	$223 – $671
24	Cigna Healthspring fee schedule · outpatient · +11 other terms	47	$352	$309	$87	28%	—	$173 – $490
25	First Health fee schedule · outpatient · +22 other terms	42	$364	$599	$953	159%	—	$65 – $6.8k

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