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
Ct breast w/3d uni c-
Devils Lake, ND
See all hospitals reporting CPT 0633T →Price type
Altru Hospital Devils Lake’s median price of $125 is 16% below the median hospital's median price ($149), higher than 40% of the 1,258 hospitals reporting CPT 0633T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 2 | Medica medicaid managed care plan facility · fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 3 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 4 | Medica medicare managed care plan facility · fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 5 | Aetna medicare managed care plan facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 7 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $146 | $146 | $21 | 15% | — | $125 – $167 |
| 8 | Aetna all commercial plans facility · fee schedule · outpatient | $152 | $152 | $40 | 26% | — | $112 – $192 |
| 9 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $193 | $193 | — | — | — | $193 – $193 |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $209 | $209 | — | — | — | $209 – $209 |
Last updated: Mar 1, 2026
See Breast CT scan without contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.