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 ANGIOGRAPHY HEAD W WO CONTRAST
Waterloo, IA
See all hospitals reporting CPT 70496 →Price type
Allen Memorial Hospital Corporation’s median price of $243 is 53% below the median hospital's median price ($519), higher than 19% of the 2,615 hospitals reporting CPT 70496. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 25 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 | Aetna medicare advantage fee schedule · both | $162.28 | $159.12 | $76.39 – $238.68 |
| 2 | Molina medicare advantage fee schedule · both | $165.53 | $162.30 | $77.92 – $243.45 |
| 3 | Wellmark medicare advantage fee schedule · both | $165.53 | $162.30 | $77.92 – $243.45 |
| 4 | Humana medicare advantage fee schedule · both | $170.39 | $167.07 | $80.21 – $250.61 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $170.39 | $167.07 | $80.21 – $250.61 |
| 6 | Aetna medicare advantage case rate · outpatient | $167.42 | $167.42 | $167.42 – $167.42 |
| 7 | Molina medicare advantage case rate · outpatient | $167.42 | $167.42 | $167.42 – $167.42 |
| 8 | Wellmark medicare advantage case rate · outpatient | $167.42 | $167.42 | $167.42 – $167.42 |
| 9 | Humana medicare advantage case rate · outpatient | $172.34 | $172.34 | $172.34 – $172.34 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $172.34 | $172.34 | $172.34 – $172.34 |
| 11 | UnitedHealthcare hmo fee schedule · both | $249.76 | $240.71 | $111.31 – $361.07 |
| 12 | UnitedHealthcare ppo fee schedule · both | $249.76 | $240.71 | $111.31 – $361.07 |
| 13 | Cigna commercial fee schedule · both | $334.93 | $330.93 | $161.47 – $496.40 |
| 14 | Wellmark commercial fee schedule · both | $382.50 | $360.27 | $157.90 – $540.40 |
| 15 | Wellmark hmo fee schedule · both | $382.50 | $360.27 | $157.90 – $540.40 |
| 16 | Aetna hmo fee schedule · outpatient | $395.29 | $395.29 | $395.29 – $395.29 |
| 17 | Aetna ppo fee schedule · outpatient | $411.26 | $411.26 | $411.26 – $411.26 |
| 18 | Wellmark ppo fee schedule · both | $450.00 | $423.80 | $185.70 – $635.70 |
| 19 | Aetna hmo fee schedule · both | $505.82 | $471.64 | $202.32 – $706.78 |
| 20 | UnitedHealthcare hmo fee schedule · outpatient | $485.13 | $485.13 | $485.13 – $485.13 |
| 21 | UnitedHealthcare ppo fee schedule · outpatient | $485.13 | $485.13 | $485.13 – $485.13 |
| 22 | Aetna ppo fee schedule · both | $588.38 | $544.15 | $227.84 – $816.23 |
| 23 | Medica commercial percent of total billed charges · outpatientfrom % of charges | $836.94 | $836.94 | $789.98 – $883.90 |
| 24 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $1,085 | $1,085 | $1,085 – $1,085 |
| 25 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $1,085 | $1,085 | $1,085 – $1,085 |
Last updated: Jan 28, 2026
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