Bilateral complex motion tomography X-ray at Carmel AmbSurg

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

COMPLEX BODY SECTION X-RAYS

Carmel, IN

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Pricing by billing methodology

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How this price compares nationally

Carmel AmbSurg’s median price of $70 is 77% below the median hospital's median price ($306), higher than 9% of the 539 hospitals reporting CPT 76102. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 76102 at Carmel AmbSurg

Negotiated rates from the hospital’s own file: 2 payers, 15 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	Anthem 9399_anthem healthsync hmo vein 20250101 fee schedule · outpatient	$70	$72	$29	40%	—	$38 – $108
2	Anthem 9401_anthem healthsync pos vein 20250101 fee schedule · outpatient	$70	$72	$29	40%	—	$38 – $108
3	Anthem 9403_anthem hmo pos vein 20250101 fee schedule · outpatient	$70	$72	$29	40%	—	$38 – $108
4	Anthem 9404_anthem pathway vein 20250101 fee schedule · outpatient	$70	$72	$29	40%	—	$38 – $108
5	Anthem 9405_anthem pathway x vein 20250101 fee schedule · outpatient	$70	$72	$29	40%	—	$38 – $108
6	Anthem 9406_anthem preferred vein 20250101 fee schedule · outpatient	$70	$72	$29	40%	—	$38 – $108
7	Anthem 9407_anthem short term limited duration vein 20250101 fee schedule · outpatient	$70	$72	$29	40%	—	$38 – $108
8	Anthem 9408_anthem traditional vein 20250101 fee schedule · outpatient	$70	$72	$29	40%	—	$38 – $108
9	Anthem 7373_anthem medicaid replacement outpatient 20230101 fee schedule · both	$112	$91	$48	52%	—	$25 – $137
10	Anthem 8255_anthem connect medicaid replacement outpatient 20240101 fee schedule · both	$112	$91	$48	52%	—	$25 – $137
11	Anthem 8879_anthem connect medicaid replacement asc outpatient 20240401 fee schedule · both	$112	$91	$48	52%	—	$25 – $137
12	UnitedHealthcare 6575_united health care self funded non-contracted vein 20221002 fee schedule · both	$92	$98	$72	74%	—	$26 – $183
13	UnitedHealthcare 9470_united healthcare vein 20250101 fee schedule · both	$92	$98	$72	74%	—	$26 – $183
14	UnitedHealthcare 6790_united healthcare new business outpatient asin 20230101 fee schedule · outpatient	$117	$125	$87	69%	—	$33 – $233
15	Anthem 4090_anthem behavioral medicaid replacement outpatient 20200201 fee schedule · outpatient	$334	$334	—	—	—	$334 – $334

Last updated: Jan 1, 2026

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