CT heart scan with contrast for congenital heart disease

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

CT Cardiac W+W/O Cong Heart

Payers reporting CPT 75573

Payer pricing summary

Low

$192

Average

$906

Median

$757

High

$2.7k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	421	$471	$556	$408	73%	17	$1 – $4.2k
2	Aetna fee schedule · outpatient · +34 other terms	550	$448	$752	$676	90%	16–43	$1 – $8.4k
3	Molina fee schedule · outpatient · +26 other terms	208	$347	$305	$174	57%	16–25	$1 – $1.3k
4	Humana fee schedule · outpatient · +27 other terms	394	$377	$642	$821	128%	14–23	$1 – $4.6k
5	First Health fee schedule · outpatient · +18 other terms	56	$487	$855	$1.3k	155%	14–23	$175 – $6.4k
6	Cigna fee schedule · outpatient · +30 other terms	297	$526	$658	$432	66%	13	$164 – $4.0k
7	UnitedHealthcare fee schedule · outpatient · +33 other terms	668	$386	$463	$542	117%	3–30	$1 – $10.9k
8	Tricare facility · fee schedule · outpatient · +17 other terms	53	$344	$359	$342	95%	2–20	$49 – $4.6k
9	Anthem fee schedule · outpatient · +24 other terms	168	$670	$613	$637	104%	1–10	$8 – $7.1k
10	WellCare fee schedule · outpatient · +16 other terms	168	$358	$348	$164	47%	—	$111 – $837
11	Ambetter facility · fee schedule · outpatient · +16 other terms	104	$607	$594	$440	74%	—	$173 – $7.1k
12	MultiPlan fee schedule · outpatient · +19 other terms	104	$830	$1.4k	$1.8k	122%	—	$240 – $10.4k
13	Kaiser fee schedule · outpatient · +21 other terms	91	$542	$801	$899	112%	—	$164 – $5.6k
14	Devoted facility · fee schedule · outpatient · +14 other terms	77	$350	$371	$321	87%	—	$66 – $4.9k
15	Caresource fee schedule · outpatient · +13 other terms	76	$355	$416	$257	62%	—	$1 – $966
16	Aetna Better Health fee schedule · outpatient · +19 other terms	68	$195	$210	$43	20%	—	$189 – $391
17	Optum fee schedule · outpatient · +19 other terms	51	$339	$820	$839	102%	—	$191 – $3.4k
18	Oscar fee schedule · outpatient · +19 other terms	51	$681	$529	$278	52%	—	$1 – $996
19	Highmark facility · fee schedule · outpatient · +15 other terms	43	$426	$510	$385	76%	—	$90 – $2.9k
20	Cigna Healthspring fee schedule · outpatient · +10 other terms	35	$225	$285	$82	29%	—	$175 – $375
21	Medicare facility · fee schedule · outpatient · +15 other terms	34	$362	$501	$687	137%	—	$248 – $4.8k
22	Clover fee schedule · outpatient · +9 other terms	32	$390	$376	$28	7%	—	$315 – $421
23	Medicaid fee schedule · both · +14 other terms	29	$235	$688	$488	71%	—	$83 – $3.9k
24	Medica fee schedule · outpatient · +23 other terms	28	$473	$976	$896	92%	—	$113 – $2.9k
25	Phcs fee schedule · outpatient · +14 other terms	28	$830	$1.4k	$826	61%	—	$635 – $2.9k

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