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
$36
Average
$720
Median
$187
High
$17.3k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
511 hospitals; the 90th percentile is 10.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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638 hospital rates
iThe hospitals that file a Ambetter rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $238 | $238 | — | — | 85 | $238 – $238 |
| 2 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $139 | $139 | — | — | 49 | $139 – $139 |
| 3 | Hutchinson Regional Medical Center, Inc. Hutchinson, KS facility · fee schedule · both | 1 | $211 | $211 | — | — | 19–190 | $211 – $211 |
| 4 | Hospital Authority of Miller County Colquitt, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $637 | $637 | — | — | 18–180 | $637 – $637 |
| 5 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS other · outpatient | 1 | $81 | $81 | — | — | 3–30 | $81 – $81 |
| 6 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO percent of total billed charges · outpatientfrom % of charges | 1 | $747 | $509 | $336 | 66% | 3–30 | $34 – $747 |
| 7 | Deaconess Health System Gibson General Hospital Princeton, IN professional · other · both | 1 | $530 | $530 | — | — | 2–20 | $530 – $530 |
| 8 | Lake Regional Health System Osage Beach, MO fee schedule · both | 1 | $150 | $150 | — | — | 2–20 | $150 – $150 |
| 9 | Morrison Community Hospital District Morrison, IL facility · fee schedule · both | 1 | $574 | $574 | — | — | 2–20 | $574 – $574 |
| 10 | Deaconess Health System Gibson General Hospital Princeton, IN facility · other · inpatient | 1 | $530 | $530 | — | — | 1–10 | $530 – $530 |
| 11 | Deaconess Health System Gibson General Hospital Princeton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $470 | $470 | — | — | 1–10 | $470 – $470 |
| 12 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 1 | $719 | $719 | — | — | 1–10 | $719 – $719 |
| 13 | Navicent Health Baldwin Inc Milledgeville, GA percent of total billed charges · outpatientfrom % of charges | 1 | $326 | $326 | — | — | 1–10 | $326 – $326 |
| 14 | Polk Medical Center Inc Cedartown, GA percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 15 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS other · outpatient | 1 | $244 | $244 | — | — | 1–10 | $244 – $244 |
| 16 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER GRENADA, MS other · outpatient | 1 | $227 | $227 | — | — | 1–10 | $227 – $227 |
| 17 | The Charlotte Mecklenburg Hospital Authority Huntersville, NC percent of total billed charges · outpatientfrom % of charges | 2 | $826 | $826 | $86 | 10% | 1–10 | $740 – $912 |
| 18 | The Medical Center of Central Georgia Inc Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $557 | $557 | — | — | 1–10 | $557 – $557 |
| 19 | The Medical Center of Peach County Inc Byron, GA percent of total billed charges · outpatientfrom % of charges | 1 | $356 | $356 | — | — | 1–10 | $356 – $356 |
| 20 | Virtua_Memorial_Hospital_Inc | Holly, NJ case rate · outpatient | 1 | $244 | $244 | — | — | 1–10 | $244 – $244 |
| 21 | Virtua_Our_Lady_of_Lourdes_Inc Camden, NJ case rate · outpatient | 1 | $244 | $244 | — | — | 1–10 | $244 – $244 |
| 22 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 23 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 24 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 25 | Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient | 1 | $161 | $161 | — | — | — | $161 – $161 |
← Payers reporting CPT 73700 · Snapshot 20261111T120946Z-9134e7f7