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
HC CT Angio Hrt W/3d Image - CT Ccta Heart W WO Cont Coronaries & Funct
Low
$104
Average
$371
Median
$372
High
$833
Each hospital's average Clover rate, under the methodology and billing class chosen below.
117 hospitals; the 90th percentile is 1.3× 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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132 hospital rates
iThe hospitals that file a Clover 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 | Hackensack Meridian at Pascack Valley Westwood, NJ facility · percent of total billed charges · bothfrom % of charges | 1 | $131 | $131 | — | — | 1–10 | $131 – $131 |
| 2 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $322 | $322 | — | — | — | $322 – $322 |
| 3 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $329 | $329 | — | — | — | $329 – $329 |
| 4 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · fee schedule · outpatient | 1 | $372 | $372 | — | — | — | $372 – $372 |
| 5 | Capital Health System Inc Trenton, NJ case rate · outpatient | 1 | $393 | $393 | — | — | — | $393 – $393 |
| 6 | Capital Health System Inc Browns Mills, NJ case rate · outpatient | 1 | $393 | $393 | — | — | — | $393 – $393 |
| 7 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 8 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 9 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · both | 1 | $189 | $198 | $77 | 39% | — | $108 – $297 |
| 10 | Central Georgia Rehabilitation LLC Macon, GA fee schedule · outpatient | 1 | $364 | $364 | — | — | — | $364 – $364 |
| 11 | Clara Maass Medical Center Belleville, NJ fee schedule · outpatient | 1 | $401 | $401 | — | — | — | $401 – $401 |
| 12 | Community Medical Center Toms River, NJ fee schedule · outpatient | 1 | $390 | $390 | — | — | — | $390 – $390 |
| 13 | Conway Hospital, Inc. Conway, SC facility · fee schedule · outpatient | 1 | $333 | $333 | — | — | — | $333 – $333 |
| 14 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $148 | $148 | $43 | 29% | — | $106 – $191 |
| 15 | Cooperman Barnabas Medical Center Livingston, NJ fee schedule · outpatient | 1 | $401 | $401 | — | — | — | $401 – $401 |
| 16 | DEKALB MEDICAL CENTER, INC Lithonia, GA facility · fee schedule · outpatient | 1 | $367 | $367 | — | — | — | $367 – $367 |
| 17 | DEKALB MEDICAL CENTER, INC Decatur, GA facility · fee schedule · outpatient | 1 | $367 | $367 | — | — | — | $367 – $367 |
| 18 | EHCA JOHN'S CREEK, LLC Johns Creek, GA facility · fee schedule · outpatient | 1 | $372 | $372 | — | — | — | $372 – $372 |
| 19 | EMORY UNIVERSITY Atlanta, GA facility · fee schedule · outpatient | 1 | $367 | $367 | — | — | — | $367 – $367 |
| 20 | East Cooper Medical Center LLC Mt Pleasant, SC fee schedule · outpatient | 2 | $337 | $337 | — | — | — | $337 – $337 |
| 21 | East Georgia Regional Medical Center LLC Statesboro, GA facility · fee schedule · outpatient | 1 | $327 | $327 | — | — | — | $327 – $327 |
| 22 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $358 | $358 | — | — | — | $358 – $358 |
| 23 | Fox Chase Cancer Center Philadelphia, PA facility · fee schedule · outpatient | 1 | $380 | $380 | — | — | — | $380 – $380 |
| 24 | Gadsden Regional Medical Center LLC Gadsden, AL facility · fee schedule · outpatient | 1 | $316 | $316 | — | — | — | $316 – $316 |
| 25 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $373 | $373 | — | — | — | $373 – $373 |
← Payers reporting CPT 75574 · Snapshot 20261111T120946Z-9134e7f7