CT angiography of head at Forsyth Memorial Hospital, Inc.

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

CTA HEAD BRAIN W 3D

Winston-Salem, NC

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How this price compares nationally

Forsyth Memorial Hospital, Inc.’s median price of $635 is 22% above the median hospital's median price ($519), higher than 55% of the 2,615 hospitals reporting CPT 70496. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70496 at Forsyth Memorial Hospital, Inc.

Negotiated rates from the hospital’s own file: 11 payers, 29 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 blue medicare fee schedule · outpatient	$170.11	$170.11	$170.11 – $170.11
2	Humana medicare fee schedule · outpatient	$170.11	$170.11	$170.11 – $170.11
3	UnitedHealthcare medicare fee schedule · outpatient	$170.11	$170.11	$170.11 – $170.11
4	Aetna medicare fee schedule · outpatient	$174.36	$174.36	$174.36 – $174.36
5	Cigna healthspring fee schedule · outpatient	$175.21	$175.21	$175.21 – $175.21
6	Blue Cross Blue Shield healthy blue medicaid fee schedule · outpatient	$527.47	$527.47	$527.47 – $527.47
7	UnitedHealthcare medicaid fee schedule · outpatient	$527.47	$527.47	$527.47 – $527.47
8	WellCare medicaid fee schedule · outpatient	$527.47	$527.47	$527.47 – $527.47
9	Cigna aca fee schedule · outpatient	$1,078	$1,078	$1,078 – $1,078
10	Caresource qualified health plan fee schedule · outpatient	$1,114	$1,114	$1,114 – $1,114
11	Blue Cross Blue Shield blue home fee schedule · outpatient	$1,454	$1,454	$1,454 – $1,454
12	Blue Cross Blue Shield blue value fee schedule · outpatient	$1,504	$1,504	$1,504 – $1,504
13	Cigna commercial fee schedule · outpatient	$1,654	$1,654	$1,654 – $1,654
14	Aetna commercial fee schedule · outpatient	$1,716	$1,716	$1,716 – $1,716
15	UnitedHealthcare all payer fee schedule · outpatient	$1,874	$1,874	$1,874 – $1,874
16	Blue Cross Blue Shield hmo fee schedule · outpatient	$1,913	$1,913	$1,913 – $1,913
17	Blue Cross Blue Shield ppo fee schedule · outpatient	$1,913	$1,913	$1,913 – $1,913
18	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$2,023	$2,023	$2,023 – $2,023
19	Humana commercial fee schedule · outpatient	$2,170	$2,170	$2,170 – $2,170
20	Aetna aca fee schedule · outpatient	$2,228	$2,228	$2,228 – $2,228
21	Aetna first health fee schedule · outpatient	$2,228	$2,228	$2,228 – $2,228
22	Aetna non-par products of apcn fee schedule · outpatient	$2,228	$2,228	$2,228 – $2,228
23	Aetna rental network products fee schedule · outpatient	$2,228	$2,228	$2,228 – $2,228
24	Aetna whole health non-multitier fee schedule · outpatient	$2,228	$2,228	$2,228 – $2,228
25	Medcost mbs fee schedule · outpatient	$2,367	$2,367	$2,367 – $2,367

Page 1 of 2 · 29 rates

Last updated: Mar 30, 2026

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