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/O DYE W/CA TEST
Kyle, TX
See all hospitals reporting CPT 75571 →Price type
Ascension Seton’s median price of $62 is 50% below the median hospital's median price ($124), higher than 6% of the 2,263 hospitals reporting CPT 75571. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 67 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 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 2 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 3 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 4 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 5 | Blue Cross Blue Shield 4222_chirp blue cross star (hay) outpatient 20241201 fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 6 | UnitedHealthcare 3740_chirp uhc star (hay) inpatient 20240901 fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 7 | UnitedHealthcare 3751_chirp uhc star plus (hay) inpatient 20240901 fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 8 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 9 | UnitedHealthcare 4256_chirp uhc star (hay) outpatient 20241201 fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 10 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 11 | UnitedHealthcare 4267_chirp uhc star plus (hay) outpatient 20241201 fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 12 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 13 | UnitedHealthcare 4314_uhc star kids (hay) outpatient 20241201 fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 14 | UnitedHealthcare 4325_uhc star kids (hay) inpatient 20240901 fee schedule · both | $13 | $13 | — | — | — | $13 – $13 |
| 15 | Superior Healthplan 3509_chirp superior star (chi,dcn) inpatient 20240901 fee schedule · both | $50 | $50 | $0 | 0% | — | $50 – $50 |
| 16 | Superior Healthplan 3512_chirp superior star (hay) inpatient 20240901 fee schedule · both | $50 | $50 | $0 | 0% | — | $50 – $50 |
| 17 | Superior Healthplan 4188_superior star foster outpatient 20241201 fee schedule · outpatient | $50 | $50 | $0 | 0% | — | $50 – $50 |
| 18 | Superior Healthplan 4189_superior star foster (chi,dcn) outpatient 20241201 fee schedule · outpatient | $50 | $50 | $0 | 0% | — | $50 – $50 |
| 19 | Superior Healthplan 4241_chirp superior star (chi,dcn) outpatient 20241201 fee schedule · outpatient | $50 | $50 | $0 | 0% | — | $50 – $50 |
| 20 | Superior Healthplan 4244_chirp superior star (hay) outpatient 20241201 fee schedule · outpatient | $50 | $50 | $0 | 0% | — | $50 – $50 |
| 21 | Superior Healthplan 4375_chirp superior star plus (chi,dcn) inpatient 20240901 fee schedule · both | $50 | $50 | $0 | 0% | — | $50 – $50 |
| 22 | Superior Healthplan 4378_chirp superior star plus (hay) inpatient 20240901 fee schedule · both | $50 | $50 | $0 | 0% | — | $50 – $50 |
| 23 | Superior Healthplan 4389_chirp superior star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient | $50 | $50 | $0 | 0% | — | $50 – $50 |
| 24 | Superior Healthplan 4395_chirp superior star plus (hay) outpatient 20241201 fee schedule · outpatient | $50 | $50 | $0 | 0% | — | $50 – $50 |
| 25 | Superior Healthplan 4888_superior star kids outpatient 20241201 fee schedule · outpatient | $50 | $50 | $0 | 0% | — | $50 – $50 |
Last updated: Jan 1, 2026
See Heart CT scan to measure coronary calcium pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.