CT scan of lower body with contrast dye at Holy Name

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 LE W/ CONT

Teaneck, NJ

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Pricing by billing methodology

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How this price compares nationally

Holy Name’s median price of $789 is 60% above the median hospital's median price ($495), higher than 63% of the 2,557 hospitals reporting CPT 73701. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73701 at Holy Name

Negotiated rates from the hospital’s own file: 9 payers, 21 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	$189	$189	—	—	—	$189 – $189
2	Aetna golden medicare facility · fee schedule · outpatient	$210	$210	—	—	—	$210 – $210
3	Clover clover facility · fee schedule · outpatient	$210	$210	—	—	—	$210 – $210
4	UnitedHealthcare medicare facility · fee schedule · outpatient	$210	$210	—	—	—	$210 – $210
5	WellCare medicare facility · fee schedule · outpatient	$212	$212	—	—	—	$212 – $212
6	Aetna whole health facility · fee schedule · outpatient	$375	$375	—	—	—	$375 – $375
7	UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges	$445	$439	$69	16%	—	$351 – $521
8	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$467	$461	$73	16%	—	$369 – $547
9	Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges	$535	$528	$84	16%	—	$422 – $627
10	UnitedHealthcare uhc facility · other · outpatient	$543	$543	—	—	—	$543 – $543
11	Cigna hmo/pos facility · fee schedule · outpatient	$609	$609	—	—	—	$609 – $609
12	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$697	$688	$109	16%	—	$550 – $816
13	Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$939	$927	$147	16%	—	$741 – $1.1k
14	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	$208	16%	—	$1.1k – $1.6k
15	Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$1.7k	$1.7k	$265	16%	—	$1.3k – $2.0k
16	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$1.8k	$1.8k	$283	16%	—	$1.4k – $2.1k
17	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$2.4k	$2.3k	$370	16%	—	$1.9k – $2.8k
18	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$2.5k	$2.5k	$392	16%	—	$2.0k – $2.9k
19	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$2.6k	$2.5k	$403	16%	—	$2.0k – $3.0k
20	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$2.6k	$2.5k	$403	16%	—	$2.0k – $3.0k
21	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$2.6k	$2.5k	$403	16%	—	$2.0k – $3.0k

Last updated: Nov 10, 2025

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