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
PET/CT NONCOV INT DIAG BREAST
Low
$7
Average
$2.5k
Median
$2.0k
High
$20.5k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
74 hospitals; the 90th percentile is 45.7× 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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86 hospital rates
iThe hospitals that file a Anthem 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 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 2 | BAKERSFIELD MEMORIAL HOSPITAL Bakersfield, CA fee schedule · outpatient | 4 | $6.2k | $6.3k | $1.0k | 16% | — | $5.1k – $7.8k |
| 3 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · fee schedule · outpatient | 4 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 4 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $133 | $133 | — | — | — | $133 – $133 |
| 5 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $93 | $97 | $11 | 12% | — | $89 – $120 |
| 6 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 7 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 2 | $133 | $133 | — | — | — | $133 – $133 |
| 8 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $113 | $75 | $53 | 71% | — | $0 – $113 |
| 9 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $113 | $75 | $53 | 71% | — | $0 – $113 |
| 10 | Curators of the University of Missouri Jefferson City, MO facility · fee schedule · outpatient | 3 | $74 | $74 | — | — | — | $74 – $74 |
| 11 | DIGNITY COMMUNITY CARE Northridge, CA fee schedule · outpatient | 3 | $8.6k | $8.4k | $808 | 10% | — | $7.4k – $9.3k |
| 12 | DIGNITY HEALTH Bakersfield, CA fee schedule · outpatient | 3 | $6.7k | $6.5k | $1.2k | 18% | — | $4.9k – $7.8k |
| 13 | DIGNITY HEALTH Merced, CA fee schedule · outpatient | 3 | $3.2k | $3.1k | $478 | 15% | — | $2.5k – $3.6k |
| 14 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 15 | Eastern Maine Medical Center Bangor, ME facility · percent of total billed charges · inpatientfrom % of charges | 2 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 16 | Eastern Maine Medical Center Bangor, ME facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 17 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 2 | $133 | $133 | — | — | — | $133 – $133 |
| 18 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $721 | $721 | — | — | — | $721 – $721 |
| 19 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · fee schedule · outpatient | 3 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 20 | Gundersen Luthern Medical Center Inc La Crosse, WI facility · fee schedule · outpatient | 1 | $631 | $631 | — | — | — | $631 – $631 |
| 21 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · fee schedule · outpatient | 4 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 22 | Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · fee schedule · outpatient | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 23 | MARK TWAIN MEDICAL CENTER San Andreas, CA fee schedule · inpatient | 2 | $3.7k | $3.7k | $461 | 12% | — | $3.3k – $4.2k |
| 24 | MARK TWAIN MEDICAL CENTER San Andreas, CA fee schedule · outpatient | 3 | $3.2k | $2.8k | $1.1k | 40% | — | $1.3k – $4.0k |
| 25 | Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient | 2 | $133 | $133 | — | — | — | $133 – $133 |
← Payers reporting HCPCS G0252 · Snapshot 20261111T120946Z-9134e7f7