Reconstruction CT angiogram for surgical planning

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

CT Surgical Plan Vasc

Payers reporting HCPCS G0288

Payer pricing summary

Low

Average

$528

Median

$350

High

$2.4k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +18 other terms	178	$109	$474	$1.0k	212%	—	$0 – $7.8k
2	UnitedHealthcare fee schedule · outpatient · +25 other terms	158	$53	$388	$530	137%	—	$1 – $4.1k
3	Humana fee schedule · outpatient · +20 other terms	134	$145	$353	$454	129%	—	$1 – $2.1k
4	Aetna fee schedule · outpatient · +23 other terms	112	$73	$415	$592	143%	—	$1 – $2.1k
5	Cigna fee schedule · outpatient · +25 other terms	73	$891	$861	$677	79%	—	$39 – $3.3k
6	Anthem fee schedule · outpatient · +17 other terms	71	$166	$315	$485	154%	—	$40 – $4.1k
7	Kaiser fee schedule · outpatient · +14 other terms	33	$47	$190	$438	230%	—	$39 – $2.5k
8	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$141	$142	$42	30%	—	$59 – $265
9	Molina facility · case rate · outpatient · +13 other terms	28	$348	$454	$679	150%	—	$22 – $2.5k
10	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	26	$1.7k	$1.7k	$141	8%	—	$1.5k – $1.8k
11	MultiPlan fee schedule · outpatient · +13 other terms	26	$754	$1.0k	$795	77%	—	$111 – $3.3k
12	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	25	$217	$230	$135	59%	—	$68 – $612
13	Devoted fee schedule · outpatient · +7 other terms	21	$47	$47	$1	2%	—	$43 – $47
14	Regence professional · fee schedule · outpatient · +4 other terms	21	$37	$41	$12	29%	—	$37 – $100
15	Caresource facility · case rate · outpatient · +12 other terms	20	$354	$306	$171	56%	—	$41 – $635
16	Medica fee schedule · outpatient · +7 other terms	20	$148	$414	$555	134%	—	$41 – $1.6k
17	Medicare fee schedule · outpatient · +5 other terms	18	$46	$44	$3	6%	—	$39 – $47
18	WellCare professional · fee schedule · outpatient · +11 other terms	18	$42	$43	$3	7%	—	$37 – $49
19	Healthcare Highways other · outpatient · +2 other terms	17	$988	$941	$64	7%	—	$855 – $988
20	Ambetter fee schedule · outpatient · +10 other terms	14	$107	$100	$17	17%	—	$58 – $113
21	Phcs fee schedule · outpatient · +8 other terms	14	$978	$1.2k	$771	64%	—	$345 – $2.4k
22	Bcbs Az facility · fee schedule · outpatient · +1 other terms	13	$270	$248	$54	22%	—	$90 – $318
23	Highmark fee schedule · outpatient · +7 other terms	13	$48	$49	$9	19%	—	$25 – $116
24	Wellmark fee schedule · both · +5 other terms	13	$62	$63	$14	22%	—	$41 – $98
25	Aetna Better Health fee schedule · outpatient · +8 other terms	12	$39	$40	$0	0%	—	$39 – $40

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