CT upper extremity scan with contrast dye at Benefis Hospitals Inc

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

HC CT Scan of Arm Contrast - CT Shoulder W IV Contrast|BILATERAL PROCEDURE

Falls, MT

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How this price compares nationally

Benefis Hospitals Inc’s median price of $1.5k is 146% above the median hospital's median price ($608), higher than 81% of the 2,587 hospitals reporting CPT 73201. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73201 at Benefis Hospitals Inc

Negotiated rates from the hospital’s own file: 12 payers, 29 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	Cigna bhs hb allegiance fee schedule · outpatient	$270	$270	$54	20%	—	$216 – $324
2	Healthpartners bhs hb allegiance fee schedule · outpatient	$270	$270	$54	20%	—	$216 – $324
3	Kaiser bhs hb allegiance fee schedule · outpatient	$270	$270	$54	20%	—	$216 – $324
4	Medical Mutual bhs hb allegiance fee schedule · outpatient	$270	$270	$54	20%	—	$216 – $324
5	Blue Cross Blue Shield bhs hb bcbs healthy montana kids fee schedule · outpatient	$325	$325	$65	20%	—	$260 – $390
6	Aetna bhs hb medicare other · outpatient	$356	$356	—	—	—	$356 – $356
7	Anthem bhs hb medicare other · outpatient	$356	$356	—	—	—	$356 – $356
8	Blue Cross Blue Shield bhs hb medicare other · outpatient	$356	$356	—	—	—	$356 – $356
9	Kaiser bhs hb medicare other · outpatient	$356	$356	—	—	—	$356 – $356
10	Medicare bhs hb medicare other · outpatient	$356	$356	—	—	—	$356 – $356
11	WellCare bhs hb medicare other · outpatient	$356	$356	—	—	—	$356 – $356
12	Tricare bhs hb tricare other · outpatient	$357	$357	—	—	—	$357 – $357
13	Blue Cross Blue Shield bhs hb bcbs employee health plan fee schedule · outpatient	$858	$858	$172	20%	—	$687 – $1.0k
14	Blue Cross Blue Shield bhs hb bcbs blue options fee schedule · outpatient	$1.1k	$1.1k	$229	20%	—	$916 – $1.4k
15	Blue Cross Blue Shield bhs hb bcbs healthlink ppo fee schedule · outpatient	$1.1k	$1.1k	$229	20%	—	$916 – $1.4k
16	Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.2k	$534	43%	—	$82 – $1.7k
17	Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · inpatientfrom % of charges	$1.3k	$1.4k	$616	43%	—	$95 – $2.0k
18	Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges	$1.4k	$1.5k	$657	43%	—	$101 – $2.1k
19	Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges	$1.4k	$1.5k	$668	43%	—	$103 – $2.1k
20	Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges	$1.5k	$1.6k	$698	43%	—	$107 – $2.2k
21	Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · inpatientfrom % of charges	$1.5k	$1.6k	$698	43%	—	$107 – $2.2k
22	Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · inpatientfrom % of charges	$1.5k	$1.6k	$706	43%	—	$108 – $2.3k
23	Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$1.6k	$1.7k	$739	43%	—	$113 – $2.4k
24	Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$1.6k	$1.7k	$739	43%	—	$113 – $2.4k
25	Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$1.6k	$1.7k	$739	43%	—	$113 – $2.4k

Page 1 of 2 · 29 rates

Last updated: Mar 26, 2026

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