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
QUAN CT TISS CHARAC W/O CT
Teaneck, NJ
See all hospitals reporting CPT 0721T →Price type
Holy Name’s median price of $766 is 5% above the median hospital's median price ($726), higher than 54% of the 965 hospitals reporting CPT 0721T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 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 | Aetna medicare prime facility · fee schedule · outpatient | $689 | $689 | — | — | — | $689 – $689 |
| 2 | Optum all products facility · fee schedule · outpatient | $722 | $722 | — | — | — | $722 – $722 |
| 3 | Aetna golden medicare facility · fee schedule · outpatient | $766 | $766 | — | — | — | $766 – $766 |
| 4 | Clover clover facility · fee schedule · outpatient | $766 | $766 | — | — | — | $766 – $766 |
| 5 | UnitedHealthcare medicare facility · fee schedule · outpatient | $766 | $766 | — | — | — | $766 – $766 |
| 6 | WellCare medicare facility · fee schedule · outpatient | $774 | $774 | — | — | — | $774 – $774 |
Last updated: Nov 10, 2025
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