Cardiac CT angiogram of heart arteries

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 Angio Hrt W/3d Image - CT Ccta Heart W WO Cont Coronaries & Funct

Payers reporting CPT 75574

Payer pricing summary

Low

$219

Average

$989

Median

$835

High

$3.1k

Payer rate distribution

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#
1	Medicare other · both · +20 other terms	43	$369	$394	$97	25%	4,325–4,370	$326 – $948
2	Bcbs Al facility · other · outpatient · +4 other terms	4	$552	$552	$67	12%	494–530	$485 – $667
3	Anthem fee schedule · outpatient · +31 other terms	189	$638	$695	$652	94%	492–681	$8 – $7.1k
4	Aetna fee schedule · outpatient · +38 other terms	608	$457	$820	$648	79%	471–606	$1 – $8.4k
5	UnitedHealthcare fee schedule · outpatient · +37 other terms	742	$394	$496	$593	119%	465–663	$1 – $10.9k
6	Blue Cross Blue Shield fee schedule · outpatient · +34 other terms	488	$545	$682	$755	111%	190–235	$1 – $12.4k
7	Cigna fee schedule · outpatient · +34 other terms	339	$564	$708	$419	59%	170–242	$4 – $4.0k
8	Molina fee schedule · outpatient · +32 other terms	241	$353	$326	$175	54%	29–92	$1 – $1.2k
9	Bcbs In other · both · +1 other terms	11	$1.3k	$1.3k	$206	16%	28–46	$847 – $1.7k
10	Bcbs Mt fee schedule · outpatient · +1 other terms	1	$820	$820	—	—	19	$820 – $820
11	Humana fee schedule · outpatient · +32 other terms	430	$371	$662	$878	133%	14–41	$1 – $5.4k
12	Medica fee schedule · outpatient · +27 other terms	29	$512	$1.0k	$907	90%	8–80	$106 – $3.1k
13	Medical Mutual fee schedule · outpatient · +17 other terms	16	$837	$796	$318	40%	2–20	$303 – $1.5k
14	Carefirst facility · fee schedule · both · +16 other terms	15	$356	$514	$290	57%	2–20	$231 – $1.1k
15	Wellmark facility · fee schedule · both · +18 other terms	15	$356	$485	$273	56%	2–20	$231 – $1.1k
16	Excellus facility · fee schedule · both · +13 other terms	16	$356	$404	$291	72%	1–10	$128 – $1.1k
17	Premera facility · fee schedule · both · +16 other terms	15	$356	$511	$293	57%	1–10	$231 – $1.1k
18	WellCare fee schedule · outpatient · +21 other terms	187	$358	$358	$149	42%	—	$69 – $837
19	Ambetter facility · fee schedule · outpatient · +21 other terms	119	$603	$588	$426	73%	—	$173 – $7.1k
20	MultiPlan fee schedule · outpatient · +22 other terms	117	$1.6k	$1.7k	$1.7k	105%	—	$73 – $10.4k
21	Kaiser fee schedule · outpatient · +30 other terms	105	$542	$739	$797	108%	—	$113 – $5.6k
22	Devoted facility · fee schedule · outpatient · +17 other terms	103	$350	$370	$293	79%	—	$58 – $4.9k
23	Tricare facility · fee schedule · outpatient · +20 other terms	84	$351	$385	$363	94%	—	$49 – $4.6k
24	Caresource fee schedule · outpatient · +20 other terms	83	$442	$564	$275	49%	—	$1 – $1.1k
25	Aetna Better Health fee schedule · outpatient · +19 other terms	80	$197	$256	$158	62%	—	$186 – $1.3k

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