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
Park, TX
See all hospitals reporting CPT 75572 →Price type
Ascension Cedar Park’s median price of $253 is 46% below the median hospital's median price ($471), higher than 10% of the 2,091 hospitals reporting CPT 75572. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 30 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 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient | $180 | $180 | — | — | — | $180 – $180 |
| 2 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient | $180 | $180 | — | — | — | $180 – $180 |
| 3 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $180 | $180 | — | — | — | $180 – $180 |
| 4 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $180 | $180 | — | — | — | $180 – $180 |
| 5 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 6 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $229 | $229 | — | — | — | $229 – $229 |
| 7 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both | $237 | $237 | — | — | — | $237 – $237 |
| 8 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both | $237 | $237 | — | — | — | $237 – $237 |
| 9 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both | $237 | $237 | — | — | — | $237 – $237 |
| 10 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both | $237 | $237 | — | — | — | $237 – $237 |
| 11 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both | $237 | $237 | — | — | — | $237 – $237 |
| 12 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both | $237 | $237 | — | — | — | $237 – $237 |
| 13 | Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both | $253 | $253 | — | — | — | $253 – $253 |
| 14 | UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both | $253 | $253 | — | — | — | $253 – $253 |
| 15 | UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both | $253 | $253 | — | — | — | $253 – $253 |
| 16 | UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both | $253 | $253 | — | — | — | $253 – $253 |
| 17 | Humana 2668_humana hmo 20230701 other · outpatient | $337 | $337 | — | — | — | $337 – $337 |
| 18 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $604 | $604 | — | — | — | $604 – $604 |
| 19 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $604 | $604 | — | — | — | $604 – $604 |
| 20 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $668 | $668 | — | — | — | $668 – $668 |
| 21 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $737 | $737 | — | — | — | $737 – $737 |
| 22 | Aetna 4335_aetna sha aisd 20250101 fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 23 | Aetna 4489_aetna aco hmo 20250801 fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 24 | Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 25 | Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 fee schedule · both | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
Last updated: Jan 1, 2026
See Cardiac CT scan with contrast for heart structure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.