Breast CT scan without contrast dye at Ascension Providence

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 BREAST W/3D UNI C-

Waco, TX

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How this price compares nationally

Ascension Providence’s median price of $106 is 28% below the median hospital's median price ($149), higher than 18% of the 1,258 hospitals reporting CPT 0633T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 0633T at Ascension Providence

Negotiated rates from the hospital’s own file: 6 payers, 14 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	Tricare 877_tricare outpatient 20250101 other · outpatient	$104	$104	—	—	—	$104 – $104
2	Tricare 986_tricare inpatient 20251001 other · inpatient	$104	$104	—	—	—	$104 – $104
3	WellCare 918_wellcare allwell medicare advantage outpatient 20250101 other · outpatient	$104	$104	—	—	—	$104 – $104
4	WellCare 994_wellcare allwell medicare advantage inpatient 20251001 other · inpatient	$104	$104	—	—	—	$104 – $104
5	Aetna 880_medicare advantage aetna outpatient 20250101 other · outpatient	$106	$106	—	—	—	$106 – $106
6	Aetna 989_medicare advantage aetna inpatient 20251001 other · inpatient	$106	$106	—	—	—	$106 – $106
7	UnitedHealthcare 883_medicare advantage united healthcare outpatient 20250101 other · outpatient	$106	$106	—	—	—	$106 – $106
8	UnitedHealthcare 991_medicare advantage united healthcare inpatient 20251001 other · inpatient	$106	$106	—	—	—	$106 – $106
9	Ambetter 876_superior ambetter outpatient 20250101 other · outpatient	$156	$156	—	—	—	$156 – $156
10	Ambetter 985_superior ambetter inpatient 20251001 other · inpatient	$156	$156	—	—	—	$156 – $156
11	Blue Cross Blue Shield 872_blue cross blue shield myblueheath 20250101 fee schedule · outpatient	$183	$183	—	—	—	$183 – $183
12	Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 other · outpatient	$229	$229	—	—	—	$229 – $229
13	Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$242	$242	—	—	—	$242 – $242
14	Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 fee schedule · outpatient	$267	$267	—	—	—	$267 – $267

Last updated: Jan 1, 2026

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See Breast CT scan without contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.