CT upper extremity scan with contrast dye at AMH Cath Labs LLC

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CT EXT UPR LT W CONT

Arlington, TX

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Pricing by billing methodology

Price type

How this price compares nationally

AMH Cath Labs LLC’s median price of $1.4k is 135% above the median hospital's median price ($608), higher than 80% of the 2,587 hospitals reporting CPT 73201. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73201 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 31 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 managed medicaid fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
2	UnitedHealthcare managed medicaid fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
3	WellCare managed medicaid fee schedule · outpatient	$217	$217	—	—	—	$217 – $217
4	Molina managed medicaid fee schedule · outpatient	$223	$223	—	—	—	$223 – $223
5	Aetna managed medicaid fee schedule · outpatient	$227	$227	—	—	—	$227 – $227
6	Blue Cross Blue Shield medicare advantage case rate · outpatient	$351	$351	—	—	—	$351 – $351
7	Humana medicare advantage case rate · outpatient	$365	$365	—	—	—	$365 – $365
8	Humana medicare advantage ppo case rate · outpatient	$365	$365	—	—	—	$365 – $365
9	Molina medicare advantage case rate · outpatient	$369	$369	—	—	—	$369 – $369
10	WellCare medicare advantage hmo case rate · outpatient	$369	$369	—	—	—	$369 – $369
11	WellCare medicare advantage mmp case rate · outpatient	$386	$386	—	—	—	$386 – $386
12	UnitedHealthcare medicare advantage ppo case rate · outpatient	$390	$390	—	—	—	$390 – $390
13	UnitedHealthcare medicare advantage hmo case rate · outpatient	$397	$397	—	—	—	$397 – $397
14	Aetna whole health case rate · outpatient	$917	$917	—	—	—	$917 – $917
15	UnitedHealthcare all payer case rate · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
16	Aetna commercial case rate · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
17	Blue Cross Blue Shield hmo fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
18	Blue Cross Blue Shield exchange fee schedule · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
19	Blue Cross Blue Shield ppo fee schedule · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
20	UnitedHealthcare ppo case rate · outpatient	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
21	Cigna oap/hmo case rate · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
22	Cigna ppo case rate · outpatient	$2.1k	$2.1k	—	—	—	$2.1k – $2.1k
23	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
24	Aetna asa percent of total billed charges · outpatientfrom % of charges	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
25	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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