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 PERFUSION W/CONTRAST CBF
Arlington, TX
See all hospitals reporting CPT 0042T →Price type
AMH Cath Labs LLC’s median price of $1.8k is 116% above the median hospital's median price ($831), higher than 82% of the 1,245 hospitals reporting CPT 0042T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 23 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 | Blue Cross Blue Shield hmo fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 2 | Blue Cross Blue Shield exchange fee schedule · outpatient | $265 | $265 | — | — | — | $265 – $265 |
| 3 | Blue Cross Blue Shield ppo fee schedule · outpatient | $286 | $286 | — | — | — | $286 – $286 |
| 4 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $299 | $299 | — | — | — | $299 – $299 |
| 5 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $299 | $299 | — | — | — | $299 – $299 |
| 6 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $314 | $314 | — | — | — | $314 – $314 |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $323 | $323 | — | — | — | $323 – $323 |
| 8 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $329 | $329 | — | — | — | $329 – $329 |
| 9 | Blue Cross Blue Shield traditional fee schedule · outpatient | $773 | $773 | — | — | — | $773 – $773 |
| 10 | Aetna whole health case rate · outpatient | $917 | $917 | — | — | — | $917 – $917 |
| 11 | UnitedHealthcare all payer case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | Aetna commercial case rate · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 13 | UnitedHealthcare ppo case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 14 | Cigna oap/hmo case rate · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 15 | Cigna ppo case rate · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 16 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 17 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 18 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 19 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 20 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 21 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 22 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 23 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
Last updated: Apr 21, 2026
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