Unlisted CT scan procedure

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

HB-Stryker Hip Map Processing

Payers reporting CPT 76497

Payer pricing summary

Low

$68

Average

$722

Median

$305

High

$4.9k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Medicare other · both · +11 other terms	26	$83	$90	$11	12%	41–95	$81 – $112
2	Cigna fee schedule · outpatient · +29 other terms	277	$210	$387	$607	157%	6–60	$34 – $5.2k
3	Bcbs Mt percent of total billed charges · outpatientfrom % of charges	1	$2.5k	$2.5k	$101	4%	4–40	$2.4k – $2.7k
4	UnitedHealthcare fee schedule · outpatient · +33 other terms	605	$137	$224	$450	201%	3–30	$1 – $6.7k
5	Molina fee schedule · outpatient · +19 other terms	203	$102	$121	$86	71%	3–30	$1 – $960
6	Wellmark case rate · outpatient · +7 other terms	13	$84	$443	$985	222%	1–10	$83 – $3.7k
7	Aetna fee schedule · outpatient · +32 other terms	498	$112	$276	$413	150%	—	$1 – $8.4k
8	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	327	$171	$221	$254	115%	—	$1 – $4.5k
9	Humana fee schedule · outpatient · +25 other terms	318	$98	$213	$373	175%	—	$1 – $3.1k
10	WellCare fee schedule · outpatient · +14 other terms	138	$93	$110	$45	41%	—	$76 – $322
11	Anthem fee schedule · outpatient · +25 other terms	108	$109	$144	$221	154%	—	$0 – $2.5k
12	Aetna Better Health fee schedule · outpatient · +13 other terms	70	$89	$91	$8	9%	—	$77 – $115
13	Kaiser fee schedule · outpatient · +17 other terms	70	$169	$325	$477	147%	—	$78 – $2.7k
14	Devoted fee schedule · outpatient · +13 other terms	69	$89	$89	$5	6%	—	$79 – $98
15	Ambetter facility · fee schedule · outpatient · +17 other terms	68	$156	$224	$590	264%	—	$86 – $7.0k
16	Caresource fee schedule · outpatient · +13 other terms	48	$176	$168	$78	47%	—	$1 – $445
17	MultiPlan fee schedule · outpatient · +16 other terms	47	$190	$471	$727	154%	—	$83 – $3.1k
18	Optum fee schedule · outpatient · +16 other terms	47	$87	$106	$55	52%	—	$49 – $321
19	First Health fee schedule · outpatient · +15 other terms	44	$91	$268	$607	227%	—	$81 – $3.0k
20	Oscar fee schedule · outpatient · +16 other terms	40	$178	$169	$36	21%	—	$103 – $248
21	Highmark facility · fee schedule · outpatient · +12 other terms	39	$154	$185	$112	60%	—	$61 – $502
22	Bcbs Tx fee schedule · outpatient · +2 other terms	33	$248	$268	$120	45%	—	$83 – $582
23	Tricare fee schedule · outpatient · +15 other terms	32	$79	$79	$13	17%	—	$59 – $103
24	Cigna Healthspring fee schedule · outpatient · +8 other terms	29	$91	$94	$19	20%	—	$87 – $176
25	Amerihealth Caritas facility · fee schedule · outpatient · +13 other terms	27	$91	$158	$112	71%	—	$46 – $368

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