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
Baker, MT
Negotiated rates from the hospital’s own file: 4 payers, 6 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 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 2 | Humana medicare advantage facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 3 | Tricare all facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 4 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 5 | Blue Cross Blue Shield all facility · fee schedule · outpatient | $368 | $368 | — | — | — | $368 – $368 |
| 6 | UnitedHealthcare all facility · fee schedule · outpatient | $428 | $428 | — | — | — | $428 – $428 |