CT lower extremity scan with and without contrast dye at Affinity Hospital LLC

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-LOWER EXT WWO

Birmingham, AL

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Pricing by billing methodology

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How this price compares nationally

Affinity Hospital LLC’s median price of $824 is 60% above the median hospital's median price ($515), higher than 64% of the 2,485 hospitals reporting CPT 73702. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73702 at Affinity Hospital LLC

Negotiated rates from the hospital’s own file: 13 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Tricare node tricare facility · fee schedule · outpatient	$152	$208	$96	46%	—	$152 – $373
2	Humana node humana mcr adv facility · fee schedule · outpatient	$158	$215	$99	46%	—	$158 – $387
3	UnitedHealthcare node uhc mcr adv facility · per diem · outpatient	$158	$215	$99	46%	—	$158 – $387
4	Optum node united optum va ccn facility · fee schedule · outpatient	$160	$219	$101	46%	—	$160 – $393
5	Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient	$161	$219	$101	46%	—	$161 – $394
6	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$161	$219	$101	46%	—	$161 – $394
7	Clover node clover health mcr adv facility · fee schedule · outpatient	$162	$221	$102	46%	—	$162 – $397
8	Aetna node aetna mcr adv facility · fee schedule · outpatient	$163	$222	$102	46%	—	$163 – $398
9	WellCare node wellcare mcr adv facility · fee schedule · outpatient	$164	$223	$103	46%	—	$164 – $401
10	WellCare node wellcare ambetter marketplace facility · fee schedule · outpatient	$241	$328	$151	46%	—	$241 – $589
11	Cigna cigna all facility · fee schedule · outpatient	$286	$389	$178	46%	—	$286 – $697
12	UnitedHealthcare uhc apa facility · fee schedule · outpatient	$364	$410	$79	19%	—	$364 – $547
13	UnitedHealthcare uhc iex facility · fee schedule · outpatient	$364	$410	$79	19%	—	$364 – $547
14	Bcbs Al bcbs al all facility · other · outpatient	$545	$613	$118	19%	—	$545 – $817
15	Aetna aetna all facility · other · outpatient	$949	$1.7k	$1.6k	90%	—	$619 – $4.4k
16	First Health first health facility · other · outpatient	$2.0k	$2.2k	$902	40%	—	$1.3k – $3.5k
17	Optum optum health facility · percent of total billed charges · outpatientfrom % of charges	$1.5k	$2.8k	$2.5k	90%	—	$1.0k – $7.1k
18	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$2.1k	$3.8k	$3.4k	90%	—	$1.4k – $9.6k
19	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$2.1k	$3.8k	$3.5k	90%	—	$1.4k – $9.8k
20	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$2.4k	$4.3k	$3.9k	90%	—	$1.6k – $11.0k
21	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$2.4k	$4.3k	$3.9k	90%	—	$1.6k – $11.0k
22	First Health first health work comp al facility · percent of total billed charges · outpatientfrom % of charges	$2.7k	$4.8k	$4.4k	90%	—	$1.7k – $12.3k

Last updated: Apr 1, 2026

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