CT scan of upper arm without contrast dye 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

CT UPPER EXTREMITY W/O DYE

Burnet, TX

See all hospitals reporting CPT 73200 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Ascension Seton’s median price of $135 is 63% below the median hospital's median price ($362), higher than 16% of the 2,596 hospitals reporting CPT 73200. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73200 at Ascension Seton

Negotiated rates from the hospital’s own file: 8 payers, 54 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.

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield 4224_chirp blue cross star (shl) outpatient 20241201 fee schedule · both	$72	$72	—	—	—	$72 – $72
2	UnitedHealthcare 4258_chirp uhc star (shl) outpatient 20241201 fee schedule · both	$72	$72	—	—	—	$72 – $72
3	UnitedHealthcare 4269_chirp uhc star plus (shl) outpatient 20241201 fee schedule · both	$72	$72	—	—	—	$72 – $72
4	UnitedHealthcare 4316_uhc star kids (shl) outpatient 20241201 fee schedule · both	$72	$72	—	—	—	$72 – $72
5	Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
6	Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
7	Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
8	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
9	Superior Healthplan 4246_chirp superior star (shl) outpatient 20241201 fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
10	Superior Healthplan 4399_chirp superior star plus (shl) outpatient 20241201 fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
11	Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
12	Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both	$112	$112	—	—	—	$112 – $112
13	Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both	$112	$112	—	—	—	$112 – $112
14	Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both	$112	$112	—	—	—	$112 – $112
15	UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both	$112	$112	—	—	—	$112 – $112
16	UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both	$112	$112	—	—	—	$112 – $112
17	UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both	$112	$112	—	—	—	$112 – $112
18	Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both	$114	$114	—	—	—	$114 – $114
19	UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both	$114	$114	—	—	—	$114 – $114
20	UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both	$114	$114	—	—	—	$114 – $114
21	UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both	$114	$114	—	—	—	$114 – $114
22	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$119	$119	—	—	—	$119 – $119
23	Blue Cross Blue Shield 4173_blue cross chip (shl) outpatient 20241201 fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
24	Blue Cross Blue Shield 4173_blue cross chip/star kids (shl) outpatient 20241201 fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
25	Blue Cross Blue Shield 5013_blue cross star kids (shl) outpatient 20241201 fee schedule · outpatient	$135	$135	—	—	—	$135 – $135

Page 1 of 3 · 54 rates

Last updated: Jan 1, 2026

Compare to other hospitals

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