Breast CT scan with 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 BREAST W/3D UNI C+

Kyle, TX

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Pricing by billing methodology

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How this price compares nationally

Ascension Seton’s median price of $173 is 26% below the median hospital's median price ($233), higher than 12% of the 1,258 hospitals reporting CPT 0634T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 0634T at Ascension Seton

Negotiated rates from the hospital’s own file: 8 payers, 18 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	Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient	$173	$173	—	—	—	$173 – $173
2	Aetna 4749_medicare advantage aetna outpatient 20250811 other · outpatient	$173	$173	—	—	—	$173 – $173
3	Devoted 4684_medicare advantage devoted health inpatient 20251001 other · inpatient	$173	$173	—	—	—	$173 – $173
4	Devoted 4918_medicare advantage devoted health outpatient 20250811 other · outpatient	$173	$173	—	—	—	$173 – $173
5	Humana 4661_medicare advantage humana inpatient (aus,hay,nw,sw) 20251001 other · inpatient	$173	$173	—	—	—	$173 – $173
6	Humana 4921_medicare advantage humana outpatient (aus,hay,nw,sw.smv) 20250811 other · outpatient	$173	$173	—	—	—	$173 – $173
7	Tricare 4696_tricare inpatient 20251001 other · inpatient	$173	$173	—	—	—	$173 – $173
8	WellCare 4691_medicare advantage wellcare inpatient 20251001 other · inpatient	$173	$173	—	—	—	$173 – $173
9	WellCare 4929_medicare advantage wellcare outpatient 20250811 other · outpatient	$173	$173	—	—	—	$173 – $173
10	UnitedHealthcare 4687_medicare advantage united healthcare inpatient (aus,nw,sw,hay) 20251001 other · inpatient	$176	$176	—	—	—	$176 – $176
11	UnitedHealthcare 4928_medicare advantage united healthcare outpatient (aus,nw,sw,hay,smv) 20250811 other · outpatient	$176	$176	—	—	—	$176 – $176
12	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$179	$179	—	—	—	$179 – $179
13	Ambetter 4652_superior ambetter inpatient 20251001 other · inpatient	$311	$311	—	—	—	$311 – $311
14	Ambetter 4960_superior ambetter outpatient 20250811 other · outpatient	$311	$311	—	—	—	$311 – $311
15	Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient	$593	$593	—	—	—	$593 – $593
16	Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient	$593	$593	—	—	—	$593 – $593
17	Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$655	$655	—	—	—	$655 – $655
18	Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient	$723	$723	—	—	—	$723 – $723

Last updated: Jan 1, 2026

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