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
$1
Average
$505
Median
$161
High
$5.4k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
821 hospitals; the 90th percentile is 13.7× 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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1,168 hospital rates
iThe hospitals that file a Molina 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 54 | $1.1k – $1.1k |
| 2 | Seattle Children's Hospital Seattle, WA professional · percent of total billed charges · bothfrom % of charges | 2 | $119 | $119 | $27 | 23% | 45–63 | $92 – $146 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $937 | $937 | $312 | 33% | 30 | $624 – $1.2k |
| 4 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $131 | $131 | $47 | 36% | 27–36 | $83 – $178 |
| 5 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 3 | $91 | $99 | $56 | 57% | 22–31 | $46 – $263 |
| 6 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $203 | $203 | — | — | 20 | $203 – $203 |
| 7 | Pana Community Hospital Association Pana, IL facility · other · outpatient | 1 | $225 | $225 | — | — | 19–190 | $225 – $225 |
| 8 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT other · outpatient | 1 | $43 | $43 | — | — | 19 | $43 – $43 |
| 9 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT other · outpatient | 1 | $43 | $43 | — | — | 18 | $43 – $43 |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $681 | $681 | $227 | 33% | 15 | $454 – $908 |
| 11 | St. Joseph Medical Center Bellingham, WA facility · other · outpatient | 2 | $130 | $136 | $57 | 42% | 14–23 | $80 – $276 |
| 12 | Kirby Medical Center Monticello, IL facility · other · outpatient | 1 | $307 | $307 | — | — | 13–130 | $307 – $307 |
| 13 | Columbus Regional Healthcare System, Inc Whiteville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $570 | $570 | — | — | 12–120 | $570 – $570 |
| 14 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 2 | $316 | $316 | $184 | 58% | 12–21 | $132 – $500 |
| 15 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $1.3k | $1.3k | $503 | 40% | 4–40 | $748 – $1.8k |
| 16 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $350 | $467 | $165 | 35% | 3–30 | $350 – $700 |
| 17 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 1 | $373 | $498 | $176 | 35% | 3–30 | $373 – $746 |
| 18 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $540 | $720 | $254 | 35% | 3–30 | $540 – $1.1k |
| 19 | ARH Tug Valley Health Services, Inc. Paintsville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $445 | $593 | $210 | 35% | 3–30 | $445 – $890 |
| 20 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $921 | $1.2k | $435 | 35% | 3–30 | $921 – $1.8k |
| 21 | Appalachian Regional Healthcare, Inc. Liberty, KY percent of total billed charges · outpatientfrom % of charges | 1 | $540 | $720 | $255 | 35% | 3–30 | $540 – $1.1k |
| 22 | Appalachian Regional Healthcare, Inc. McDowell, KY percent of total billed charges · outpatientfrom % of charges | 1 | $459 | $612 | $216 | 35% | 3–30 | $459 – $918 |
| 23 | Appalachian Regional Healthcare, Inc. Whitesburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $424 | $566 | $200 | 35% | 3–30 | $424 – $849 |
| 24 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $593 | $791 | $280 | 35% | 3–30 | $593 – $1.2k |
| 25 | Appalachian Regional Healthcare, Inc. Harlan, KY percent of total billed charges · outpatientfrom % of charges | 1 | $508 | $678 | $240 | 35% | 3–30 | $508 – $1.0k |
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