Cardiac CT scan with contrast for heart structure

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 Heart W/WO Dye Funct

Payers reporting CPT 75572

Payer pricing summary

Low

$161

Average

$818

Median

$701

High

$3.1k

Payer rate distribution

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#
1	Medicare other · both · +20 other terms	43	$369	$386	$51	13%	2,503–2,521	$326 – $493
2	Wellmark case rate · outpatient · +17 other terms	13	$340	$457	$212	46%	644	$336 – $1.1k
3	Bcbs Al facility · other · outpatient · +3 other terms	3	$463	$384	$172	45%	37–46	$145 – $545
4	Cigna fee schedule · outpatient · +34 other terms	317	$498	$627	$356	57%	18–27	$45 – $4.0k
5	Anthem fee schedule · outpatient · +29 other terms	178	$586	$477	$491	103%	4–40	$8 – $5.3k
6	Bcbs In other · both · +1 other terms	11	$1.3k	$1.3k	$206	16%	4–40	$847 – $1.7k
7	Humana fee schedule · outpatient · +32 other terms	397	$374	$528	$606	115%	3–30	$1 – $3.5k
8	Medica fee schedule · outpatient · +25 other terms	29	$379	$812	$742	91%	3–30	$77 – $2.3k
9	UnitedHealthcare fee schedule · outpatient · +37 other terms	701	$378	$451	$550	122%	2–20	$1 – $10.9k
10	Blue Cross Blue Shield fee schedule · outpatient · +32 other terms	460	$441	$491	$357	73%	2–20	$1 – $4.2k
11	Aetna fee schedule · outpatient · +37 other terms	573	$428	$694	$612	88%	1–10	$1 – $8.4k
12	Molina fee schedule · outpatient · +30 other terms	214	$347	$305	$175	57%	1–10	$1 – $1.3k
13	First Health fee schedule · outpatient · +23 other terms	60	$476	$810	$1.3k	157%	1–10	$98 – $6.4k
14	WellCare fee schedule · outpatient · +21 other terms	166	$360	$348	$162	46%	—	$86 – $837
15	MultiPlan fee schedule · outpatient · +22 other terms	114	$742	$1.3k	$1.7k	129%	—	$107 – $10.4k
16	Ambetter facility · fee schedule · outpatient · +19 other terms	113	$595	$575	$427	74%	—	$173 – $7.1k
17	Kaiser fee schedule · outpatient · +27 other terms	103	$506	$705	$843	120%	—	$82 – $5.6k
18	Devoted facility · fee schedule · outpatient · +17 other terms	97	$344	$370	$304	82%	—	$46 – $4.9k
19	Caresource fee schedule · outpatient · +20 other terms	81	$355	$407	$187	46%	—	$1 – $819
20	Aetna Better Health fee schedule · outpatient · +19 other terms	79	$195	$240	$135	56%	—	$155 – $1.3k
21	Tricare facility · fee schedule · outpatient · +19 other terms	71	$346	$369	$322	87%	—	$127 – $4.6k
22	Highmark facility · fee schedule · outpatient · +23 other terms	64	$498	$501	$334	67%	—	$61 – $2.1k
23	Oscar facility · fee schedule · outpatient · +22 other terms	60	$510	$489	$127	26%	—	$242 – $656
24	Optum facility · fee schedule · outpatient · +22 other terms	51	$332	$344	$143	42%	—	$225 – $2.2k
25	Amerihealth Caritas facility · fee schedule · outpatient · +16 other terms	41	$300	$351	$146	42%	—	$189 – $885

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