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
$49
Average
$382
Median
$343
High
$3.4k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
287 hospitals; the 90th percentile is 2.5× 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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327 hospital rates
iThe hospitals that file a Tricare 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 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $167 | $167 | — | — | 62 | $167 – $167 |
| 2 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $167 | $167 | — | — | 62 | $167 – $167 |
| 3 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $343 | $343 | — | — | 20 | $343 – $343 |
| 4 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $343 | $343 | — | — | 20 | $343 – $343 |
| 5 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $178 | $178 | — | — | 2–20 | $178 – $178 |
| 6 | Brigham and Women's Hospital Boston, MA other · both | 1 | $403 | $403 | — | — | 1–10 | $403 – $403 |
| 7 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $423 | $423 | — | — | 1–10 | $423 – $423 |
| 8 | John Muir Health Concord, CA other · both | 1 | $267 | $267 | — | — | 1–10 | $267 – $267 |
| 9 | Massachusetts General Hospital Boston, MA other · both | 1 | $403 | $403 | — | — | 1–10 | $403 – $403 |
| 10 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $319 | $319 | — | — | 1–10 | $319 – $319 |
| 11 | Methodist Hospitals of Dallas Coppell, TX other · both | 1 | $341 | $341 | — | — | 1–10 | $341 – $341 |
| 12 | Methodist Hospitals of Dallas Souhtlake, TX other · both | 1 | $341 | $341 | — | — | 1–10 | $341 – $341 |
| 13 | Mississippi Baptist Medical Center Jackson, MS facility · other · outpatient | 1 | $324 | $324 | — | — | 1–10 | $324 – $324 |
| 14 | Newton Wellesley Hospital Newton, MA other · both | 1 | $403 | $403 | — | — | 1–10 | $403 – $403 |
| 15 | PRISMA HEALTH BAPTIST COLUMBIA HOSPITAL COLUMBIA, SC other · both | 1 | $165 | $165 | — | — | 1–10 | $165 – $165 |
| 16 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $166 | $166 | — | — | 1–10 | $166 – $166 |
| 17 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 1 | $166 | $166 | — | — | 1–10 | $166 – $166 |
| 18 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC other · both | 1 | $176 | $176 | — | — | 1–10 | $176 – $176 |
| 19 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $370 | $370 | $22 | 6% | 1–10 | $348 – $392 |
| 20 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $315 | $315 | — | — | 1–10 | $315 – $315 |
| 21 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $322 | $322 | — | — | 1–10 | $322 – $322 |
| 22 | St. Charles Bend Bend, OR other · both | 1 | $388 | $388 | — | — | 1–10 | $388 – $388 |
| 23 | St. Charles Redmond Redmond, OR other · both | 1 | $388 | $388 | — | — | 1–10 | $388 – $388 |
| 24 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $107 | $165 | $94 | 57% | — | $91 – $305 |
| 25 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $303 | $303 | — | — | — | $303 – $303 |
← Payers reporting CPT 75574 · Snapshot 20261111T120946Z-9134e7f7