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
Ct Low Ext W/O Contrast,Bilat
Low
$106
Average
$1.1k
Median
$681
High
$8.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
72 payers; the 90th percentile is 9.9× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Wellmark case rate · outpatient · +25 other terms | 24 | $208 | $497 | $791 | 159% | 894–1,065 | $100 – $4.5k |
| 2 | Anthem fee schedule · outpatient · +36 other terms | 199 | $351 | $260 | $224 | 86% | 254–479 | $2 – $1.8k |
| 3 | UnitedHealthcare fee schedule · outpatient · +40 other terms | 782 | $193 | $289 | $444 | 153% | 132–375 | $1 – $7.4k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +38 other terms | 524 | $274 | $368 | $461 | 125% | 47–344 | $1 – $9.3k |
| 5 | Bcbs Al facility · other · outpatient · +4 other terms | 6 | $190 | $158 | $40 | 25% | 47–74 | $137 – $302 |
| 6 | Cigna fee schedule · outpatient · +35 other terms | 344 | $286 | $570 | $451 | 79% | 45–162 | $1 – $5.5k |
| 7 | Molina fee schedule · outpatient · +36 other terms | 248 | $131 | $148 | $121 | 82% | 36–126 | $1 – $2.2k |
| 8 | WellCare fee schedule · outpatient · +28 other terms | 218 | $118 | $136 | $101 | 75% | 29 | $38 – $953 |
| 9 | Humana fee schedule · outpatient · +36 other terms | 441 | $122 | $288 | $474 | 164% | 28–154 | $1 – $3.3k |
| 10 | Aetna fee schedule · outpatient · +40 other terms | 621 | $189 | $544 | $562 | 103% | 26–134 | $1 – $8.4k |
| 11 | Kaiser fee schedule · outpatient · +29 other terms | 81 | $174 | $216 | $218 | 101% | 14 | $47 – $1.8k |
| 12 | Medica fee schedule · outpatient · +28 other terms | 81 | $109 | $401 | $706 | 176% | 9–90 | $38 – $3.1k |
| 13 | Caresource fee schedule · outpatient · +23 other terms | 96 | $159 | $264 | $156 | 59% | 4–40 | $1 – $931 |
| 14 | Aetna Better Health fee schedule · outpatient · +20 other terms | 90 | $115 | $127 | $58 | 46% | 4–40 | $56 – $441 |
| 15 | Medicare other · both · +22 other terms | 42 | $111 | $194 | $396 | 205% | 4–40 | $97 – $3.0k |
| 16 | Bcbs Mt fee schedule · outpatient · +2 other terms | 1 | $179 | $179 | $65 | 36% | 1–10 | $114 – $244 |
| 17 | Ambetter fee schedule · outpatient · +27 other terms | 121 | $169 | $156 | $89 | 57% | — | $36 – $856 |
| 18 | Tricare facility · fee schedule · outpatient · +21 other terms | 99 | $125 | $188 | $318 | 169% | — | $49 – $4.6k |
| 19 | MultiPlan fee schedule · outpatient · +24 other terms | 97 | $1.5k | $1.1k | $1.4k | 128% | — | $61 – $7.1k |
| 20 | Devoted facility · fee schedule · outpatient · +20 other terms | 95 | $106 | $131 | $215 | 165% | — | $90 – $4.9k |
| 21 | Highmark facility · fee schedule · outpatient · +22 other terms | 81 | $180 | $323 | $382 | 118% | — | $35 – $1.9k |
| 22 | Optum facility · fee schedule · outpatient · +24 other terms | 70 | $107 | $128 | $86 | 68% | — | $90 – $672 |
| 23 | Medicaid facility · fee schedule · outpatient · +20 other terms | 62 | $105 | $124 | $67 | 54% | — | $60 – $303 |
| 24 | Oscar facility · fee schedule · outpatient · +24 other terms | 54 | $153 | $142 | $25 | 18% | — | $97 – $196 |
| 25 | Cigna Healthspring fee schedule · outpatient · +11 other terms | 43 | $110 | $116 | $25 | 22% | — | $97 – $213 |
← Hospitals reporting CPT 73700 · Snapshot 20261111T120946Z-9134e7f7