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
BONE SRGRY CMPTR CT/MRI IMAG
St. Paul, MN
See all hospitals reporting CPT 0055T →Price type
Fairview Bethesda Hospital’s median price of $177 is 89% below the median hospital's median price ($1.6k), higher than 11% of the 1,101 hospitals reporting CPT 0055T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 18 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 | Sanford Health Plan medicare advantage fee schedule · both | $145.01 | $145.01 | $145.01 – $145.01 |
| 2 | UnitedHealthcare medicare advantage fee schedule · both | $145.01 | $145.01 | $145.01 – $145.01 |
| 3 | WellCare medicare advantage fee schedule · both | $145.01 | $145.01 | $145.01 – $145.01 |
| 4 | Bcbs Mn medicare advantage fee schedule · both | $150.81 | $150.81 | $150.81 – $150.81 |
| 5 | Ucare medicare advantage/msho fee schedule · both | $156.61 | $156.61 | $156.61 – $156.61 |
| 6 | Bcbs Mn aware federal fee schedule · both | $174.24 | $174.24 | $174.24 – $174.24 |
| 7 | Bcbs Mn commercial fee schedule · both | $177.38 | $177.38 | $177.38 – $177.38 |
| 8 | Medica medicare advantage fee schedule · both | $205.75 | $205.75 | $205.75 – $205.75 |
| 9 | Medica msho fee schedule · both | $209.63 | $209.63 | $209.63 – $209.63 |
| 10 | Medica bold fee schedule · both | $370.56 | $370.56 | $370.56 – $370.56 |
| 11 | Ucare individual and family with m health fairview fee schedule · both | $382.68 | $382.68 | $382.68 – $382.68 |
| 12 | Medica vantage si fee schedule · both | $401.44 | $401.44 | $401.44 – $401.44 |
| 13 | Ucare individual and family fee schedule · both | $403.13 | $403.13 | $403.13 – $403.13 |
| 14 | Medica city of st paul and essential/uplan fee schedule · both | $411.73 | $411.73 | $411.73 – $411.73 |
| 15 | Medica individual and family, elect fee schedule · both | $411.73 | $411.73 | $411.73 – $411.73 |
| 16 | Medica choice fee schedule · both | $426.08 | $426.08 | $426.08 – $426.08 |
| 17 | UnitedHealthcare commercial fee schedule · both | $534.98 | $534.98 | $534.98 – $534.98 |
| 18 | UnitedHealthcare core fee schedule · both | $534.98 | $534.98 | $534.98 – $534.98 |
Last updated: Jan 29, 2026
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