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 hrt w/3d image congen
Devils Lake, ND
See all hospitals reporting CPT 75573 →Price type
Altru Hospital Devils Lake’s median price of $416 is 10% below the median hospital's median price ($465), higher than 42% of the 1,854 hospitals reporting CPT 75573. 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medica medicaid managed care plan facility · fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 3 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 4 | Medica medicare managed care plan facility · fee schedule · outpatient | $215 | $215 | — | — | — | $215 – $215 |
| 5 | Medica all commercial plans facility · fee schedule · outpatient | $350 | $350 | — | — | — | $350 – $350 |
| 6 | Aetna medicare managed care plan facility · fee schedule · outpatient | $356 | $356 | — | — | — | $356 – $356 |
| 7 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $487 | $487 | $71 | 15% | — | $416 – $559 |
| 8 | Aetna all commercial plans facility · fee schedule · outpatient | $508 | $508 | $134 | 26% | — | $374 – $642 |
| 9 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $647 | $647 | — | — | — | $647 – $647 |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $698 | $698 | — | — | — | $698 – $698 |
Last updated: Mar 1, 2026
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