Cisternography with contrast dye and radiologist review at Ascension Seton

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

CONTRAST X-RAY OF BRAIN

Burnet, TX

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Pricing by billing methodology

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How this price compares nationally

Ascension Seton’s median price of $226 is 71% below the median hospital's median price ($790), higher than 18% of the 1,482 hospitals reporting CPT 70015. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70015 at Ascension Seton

Negotiated rates from the hospital’s own file: 8 payers, 44 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 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both	$137	$137	—	—	—	$137 – $137
2	UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both	$137	$137	—	—	—	$137 – $137
3	UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both	$137	$137	—	—	—	$137 – $137
4	UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both	$137	$137	—	—	—	$137 – $137
5	Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both	$147	$147	—	—	—	$147 – $147
6	Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both	$147	$147	—	—	—	$147 – $147
7	Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both	$147	$147	—	—	—	$147 – $147
8	UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both	$147	$147	—	—	—	$147 – $147
9	UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both	$147	$147	—	—	—	$147 – $147
10	UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both	$147	$147	—	—	—	$147 – $147
11	Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient	$169	$169	—	—	—	$169 – $169
12	Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient	$169	$169	—	—	—	$169 – $169
13	Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$169	$169	—	—	—	$169 – $169
14	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$169	$169	—	—	—	$169 – $169
15	Superior Healthplan 4246_chirp superior star (shl) outpatient 20241201 fee schedule · outpatient	$169	$169	—	—	—	$169 – $169
16	Superior Healthplan 4399_chirp superior star plus (shl) outpatient 20241201 fee schedule · outpatient	$169	$169	—	—	—	$169 – $169
17	Humana 2668_humana hmo 20230701 other · outpatient	$201	$201	—	—	—	$201 – $201
18	Blue Cross Blue Shield 4224_chirp blue cross star (shl) outpatient 20241201 fee schedule · both	$226	$226	—	—	—	$226 – $226
19	UnitedHealthcare 4258_chirp uhc star (shl) outpatient 20241201 fee schedule · both	$226	$226	—	—	—	$226 – $226
20	UnitedHealthcare 4269_chirp uhc star plus (shl) outpatient 20241201 fee schedule · both	$226	$226	—	—	—	$226 – $226
21	UnitedHealthcare 4316_uhc star kids (shl) outpatient 20241201 fee schedule · both	$226	$226	—	—	—	$226 – $226
22	Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient	$340	$340	—	—	—	$340 – $340
23	Aetna 4489_aetna aco hmo 20250801 fee schedule · both	$559	$559	—	—	—	$559 – $559
24	Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both	$559	$559	—	—	—	$559 – $559
25	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$681	$681	—	—	—	$681 – $681

Page 1 of 2 · 44 rates

Last updated: Jan 1, 2026

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