CT scan of neck with contrast dye at Good Samaritan Hospital

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

CT Neck Chest Abd Pelv w/ Contrast

Suffern, NY

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Pricing by billing methodology

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How this price compares nationally

Good Samaritan Hospital’s median price of $1.0k is 123% above the median hospital's median price ($456), higher than 73% of the 2,626 hospitals reporting CPT 70491. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 70491 at Good Samaritan Hospital

Negotiated rates from the hospital’s own file: 10 payers, 17 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	Medicare medicare facility · fee schedule · outpatient	$218.95	$218.95	$218.95 – $218.95
2	Tricare tricare facility · fee schedule · outpatient	$218.95	$218.95	$218.95 – $218.95
3	Molina affinity by molina mcr facility · fee schedule · outpatient	$228.77	$228.77	$228.77 – $228.77
4	Aetna aetna hp network facility · fee schedule · outpatient	$404.79	$404.79	$404.79 – $404.79
5	Aetna aetna employee facility · fee schedule · outpatient	$414.09	$414.09	$414.09 – $414.09
6	Aetna aetna facility · fee schedule · outpatient	$450.39	$450.39	$450.39 – $450.39
7	Cigna cigna ppo facility · fee schedule · outpatient	$485.78	$485.78	$485.78 – $485.78
8	Blue Cross Blue Shield blue cross connection/exchange facility · fee schedule · outpatient	$1,681	$1,681	$1,681 – $1,681
9	Blue Cross Blue Shield blue cross small group facility · fee schedule · outpatient	$2,019	$2,019	$2,019 – $2,019
10	Blue Cross Blue Shield blue cross hmo facility · fee schedule · outpatient	$2,074	$2,074	$2,074 – $2,074
11	UnitedHealthcare uhc exchange facility · fee schedule · outpatient	$2,532	$2,532	$2,532 – $2,532
12	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$2,547	$2,547	$2,547 – $2,547
13	Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges	$2,547	$2,547	$2,547 – $2,547
14	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$2,887	$2,887	$2,887 – $2,887
15	UnitedHealthcare uhc commercial facility · fee schedule · outpatient	$2,979	$2,979	$2,979 – $2,979
16	UnitedHealthcare uhc empire facility · fee schedule · outpatient	$2,979	$2,979	$2,979 – $2,979
17	Blue Cross Blue Shield blue cross access facility · fee schedule · outpatient	$10,380	$10,380	$10,380 – $10,380

Last updated: Jun 29, 2026

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