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
HCHG RAD CT UPPER EXTREMITY W
Ulm, MN
See all hospitals reporting CPT 73201 →Price type
Allina Health Systems’s median price of $1.6k is 164% above the median hospital's median price ($608), higher than 83% of the 2,587 hospitals reporting CPT 73201. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 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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Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs Mn bc pmap (n) facility · other · outpatient | $232 | $232 | — | — | — | $232 – $232 |
| 2 | Aetna allina aetna medicare (n) facility · fee schedule · outpatient | $342 | $342 | — | — | — | $342 – $342 |
| 3 | Medicare medicare (n) facility · fee schedule · outpatient | $360 | $360 | — | — | — | $360 – $360 |
| 4 | Medica medica pmap (n) facility · per diem · outpatient | $499 | $499 | — | — | — | $499 – $499 |
| 5 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $571 | $571 | — | — | — | $571 – $571 |
| 6 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $572 | $572 | — | — | — | $572 – $572 |
| 7 | Bcbs Mn bc premier(n) facility · other · outpatient | $735 | $735 | — | — | — | $735 – $735 |
| 8 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $865 | $865 | — | — | — | $865 – $865 |
| 9 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $928 | $928 | — | — | — | $928 – $928 |
| 10 | Medicaid medicaid ma (n) facility · other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 11 | Medica medica medicare (r) facility · fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 12 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 13 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 14 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 15 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 16 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 17 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 18 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 19 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 20 | Cigna hpi cigna (n) facility · other · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 21 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 22 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 23 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 24 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 25 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
Last updated: Jun 16, 2026
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