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/3d Image, Congen
Eureka, IL
See all hospitals reporting CPT 75573 →Price type
Carle Eureka Hospital’s median price of $595 is 28% above the median hospital's median price ($465), higher than 64% of the 1,854 hospitals reporting CPT 75573. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 22 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 commercial fee schedule · outpatient | $226 | $226 | — | — | — | $226 – $226 |
| 2 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $265 | $265 | — | — | — | $265 – $265 |
| 3 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $265 | $265 | — | — | — | $265 – $265 |
| 4 | Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges | $265 | $265 | — | — | — | $265 – $265 |
| 5 | Humana medicare-medicaid (d-snp) fee schedule · inpatient | $305 | $305 | — | — | — | $305 – $305 |
| 6 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $305 | $305 | — | — | — | $305 – $305 |
| 7 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $314 | $314 | — | — | — | $314 – $314 |
| 8 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $314 | $314 | — | — | — | $314 – $314 |
| 9 | WellCare medicare advantage hmo case rate · outpatient | $374 | $374 | — | — | — | $374 – $374 |
| 10 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $595 | $595 | — | — | — | $595 – $595 |
| 11 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $595 | $595 | — | — | — | $595 – $595 |
| 12 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $595 | $595 | — | — | — | $595 – $595 |
| 13 | UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges | $595 | $595 | — | — | — | $595 – $595 |
| 14 | Cigna ppo case rate · outpatient | $600 | $600 | — | — | — | $600 – $600 |
| 15 | Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges | $635 | $635 | — | — | — | $635 – $635 |
| 16 | Aetna ppo percent of total billed charges · inpatientfrom % of charges | $875 | $875 | — | — | — | $875 – $875 |
| 17 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $875 | $875 | — | — | — | $875 – $875 |
| 18 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $886 | $886 | — | — | — | $886 – $886 |
| 19 | Aetna commercial case rate · outpatient | $927 | $927 | — | — | — | $927 – $927 |
| 20 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $992 | $992 | — | — | — | $992 – $992 |
| 21 | Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 22 | UnitedHealthcare ppo case rate · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
Last updated: Apr 15, 2026
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