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 WO CON W QUAL CAL TEST
Arlington, TX
See all hospitals reporting CPT 75571 →Price type
AMH Cath Labs LLC’s median price of $159 is 29% above the median hospital's median price ($123), higher than 64% of the 2,286 hospitals reporting CPT 75571. 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, 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 | $87 | $87 | — | — | — | $87 – $87 |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 3 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 4 | WellCare managed medicaid fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 5 | Humana medicare advantage case rate · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 6 | Humana medicare advantage ppo case rate · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 7 | Molina medicare advantage case rate · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 8 | WellCare medicare advantage hmo case rate · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 9 | Molina managed medicaid fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 10 | Aetna managed medicaid fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 11 | WellCare medicare advantage mmp case rate · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 12 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 13 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 14 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $158 | $158 | — | — | — | $158 – $158 |
| 15 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $159 | $159 | — | — | — | $159 – $159 |
| 16 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $159 | $159 | — | — | — | $159 – $159 |
| 17 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $169 | $169 | — | — | — | $169 – $169 |
| 18 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
| 19 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
| 20 | Blue Cross Blue Shield hmo fee schedule · outpatient | $210 | $210 | — | — | — | $210 – $210 |
| 21 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $214 | $214 | — | — | — | $214 – $214 |
| 22 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $214 | $214 | — | — | — | $214 – $214 |
| 23 | Blue Cross Blue Shield exchange fee schedule · outpatient | $215 | $215 | — | — | — | $215 – $215 |
| 24 | Blue Cross Blue Shield ppo fee schedule · outpatient | $233 | $233 | — | — | — | $233 – $233 |
| 25 | Blue Cross Blue Shield traditional fee schedule · outpatient | $630 | $630 | — | — | — | $630 – $630 |
Last updated: Apr 21, 2026
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