CT upper extremity scan with contrast dye at Bronson Methodist Hospital

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 UPPER EXTREMITY W CON

Kalamazoo, MI

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Pricing by billing methodology

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How this price compares nationally

Bronson Methodist Hospital’s median price of $363 is 40% below the median hospital's median price ($608), higher than 18% 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 Bronson Methodist Hospital

Negotiated rates from the hospital’s own file: 5 payers, 27 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	UnitedHealthcare medicaid facility · fee schedule · outpatient	$182	$182	—	—	—	$182 – $182
2	Blue Cross Blue Shield mappo professional · fee schedule · both	$186	$186	—	—	—	$186 – $186
3	UnitedHealthcare dual complete dsnp/medicare advantage professional · fee schedule · both	$186	$186	—	—	—	$186 – $186
4	Blue Cross Blue Shield complete facility · fee schedule · outpatient	$191	$191	—	—	—	$191 – $191
5	Aetna medicare professional · fee schedule · both	$193	$193	—	—	—	$193 – $193
6	Molina medicare/medicaid professional · fee schedule · both	$205	$205	—	—	—	$205 – $205
7	Aetna commercial professional · fee schedule · both	$249	$249	—	—	—	$249 – $249
8	Aetna new business (mi preferred) professional · fee schedule · both	$259	$259	$9	4%	—	$249 – $268
9	UnitedHealthcare all payor (choice/ppo) professional · fee schedule · both	$313	$313	—	—	—	$313 – $313
10	UnitedHealthcare core professional · fee schedule · both	$313	$313	—	—	—	$313 – $313
11	UnitedHealthcare exchange professional · fee schedule · both	$313	$313	—	—	—	$313 – $313
12	Blue Cross Blue Shield mappo facility · fee schedule · outpatient	$348	$348	—	—	—	$348 – $348
13	UnitedHealthcare dual complete dsnp/medicare advantage facility · fee schedule · outpatient	$348	$348	—	—	—	$348 – $348
14	Aetna medicare facility · fee schedule · outpatient	$362	$362	—	—	—	$362 – $362
15	Blue Cross Blue Shield trust/ppo facility · fee schedule · outpatient	$365	$365	—	—	—	$365 – $365
16	Molina medicare/medicaid facility · fee schedule · outpatient	$382	$382	—	—	—	$382 – $382
17	UnitedHealthcare exchange facility · percent of total billed charges · outpatientfrom % of charges	$581	$581	—	—	—	$581 – $581
18	UnitedHealthcare core facility · percent of total billed charges · outpatientfrom % of charges	$771	$771	—	—	—	$771 – $771
19	Aetna american axle facility · percent of total billed charges · inpatientfrom % of charges	$962	$962	—	—	—	$962 – $962
20	Aetna american axle facility · percent of total billed charges · outpatientfrom % of charges	$962	$962	—	—	—	$962 – $962
21	Aetna new business (mi preferred) facility · percent of total billed charges · inpatientfrom % of charges	$962	$962	—	—	—	$962 – $962
22	Aetna new business (mi preferred) facility · percent of total billed charges · outpatientfrom % of charges	$962	$962	—	—	—	$962 – $962
23	UnitedHealthcare all payor (choice/ppo) facility · percent of total billed charges · outpatientfrom % of charges	$962	$962	—	—	—	$962 – $962
24	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
25	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k

Page 1 of 2 · 27 rates

Last updated: Aug 3, 2026

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