CT upper extremity scan with contrast dye at Astera Health

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/Contrast (Pro CAH)

Wadena, MN

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Pricing by billing methodology

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How this price compares nationally

Astera Health’s median price of $735 is 21% above the median hospital's median price ($609), higher than 56% of the 2,556 hospitals reporting CPT 73201. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73201 at Astera Health

Negotiated rates from the hospital’s own file: 7 payers, 55 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 mr-bcbs mn [400069] fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
2	Medica mr-medica advantage solutions [100895] fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
3	Medica mr-medica dual solutions msho [100344] fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
4	Ucare mr-ucare [300064] fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
5	Ucare mr-ucare msho [300061] fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
6	Ucare ucare pmap [300063] fee schedule · outpatient	$152	$152	—	—	—	$152 – $152
7	Medica medica mncare [100751] fee schedule · inpatient	$154	$154	—	—	—	$154 – $154
8	Medica medica mncare [100751] fee schedule · outpatient	$154	$154	—	—	—	$154 – $154
9	Medica medica pmap [100345] fee schedule · inpatient	$154	$154	—	—	—	$154 – $154
10	Medica medica pmap [100345] fee schedule · outpatient	$154	$154	—	—	—	$154 – $154
11	Ucare ucare pmap [300063] fee schedule · inpatient	$169	$169	—	—	—	$169 – $169
12	Blue Cross Blue Shield mr-bcbs mn [400069] fee schedule · inpatient	$199	$199	—	—	—	$199 – $199
13	Medica mr-medica advantage solutions [100895] fee schedule · inpatient	$199	$199	—	—	—	$199 – $199
14	Ucare mr-ucare [300064] fee schedule · inpatient	$199	$199	—	—	—	$199 – $199
15	Ucare mr-ucare msho [300061] fee schedule · inpatient	$199	$199	—	—	—	$199 – $199
16	UnitedHealthcare united healthcare [100453] fee schedule · inpatient	$294	$294	—	—	—	$294 – $294
17	UnitedHealthcare united healthcare [100453] fee schedule · outpatient	$294	$294	—	—	—	$294 – $294
18	Sanford Health Plan sanford health plan [100578] fee schedule · inpatient	$312	$312	—	—	—	$312 – $312
19	Sanford Health Plan sanford health plan [100578] fee schedule · outpatient	$318	$318	—	—	—	$318 – $318
20	Medica mr-medica dual solutions msho [100344] fee schedule · inpatient	$335	$335	—	—	—	$335 – $335
21	Medica medica [100341] fee schedule · outpatient	$368	$368	—	—	—	$368 – $368
22	Ucare ucare pmap [300063] percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
23	Medica medica mncare [100751] percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
24	Medica medica pmap [100345] percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
25	Blue Cross Blue Shield mr-bcbs mn [400069] percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k

Page 1 of 3 · 55 rates

Last updated: Feb 20, 2026

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