CT angiography of abdomen without and with contrast 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

CTA ABDOMEN W/O & W CONTRAST

Teaneck, NJ

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How this price compares nationally

Holy Name’s median price of $847 is 65% above the median hospital's median price ($514), higher than 64% of the 2,578 hospitals reporting CPT 74175. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74175 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	UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges	$519	$508	$85	17%	—	$399 – $608
7	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$545	$534	$90	17%	—	$419 – $638
8	UnitedHealthcare uhc facility · other · outpatient	$543	$543	—	—	—	$543 – $543
9	Cigna hmo/pos facility · fee schedule · outpatient	$609	$609	—	—	—	$609 – $609
10	Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges	$623	$611	$103	17%	—	$480 – $730
11	Aetna whole health facility · fee schedule · outpatient	$695	$695	—	—	—	$695 – $695
12	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$812	$796	$134	17%	—	$625 – $951
13	Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	$180	17%	—	$843 – $1.3k
14	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$1.6k	$1.5k	$255	17%	—	$1.2k – $1.8k
15	Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$2.0k	$1.9k	$326	17%	—	$1.5k – $2.3k
16	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$2.1k	$2.1k	$347	17%	—	$1.6k – $2.5k
17	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$2.8k	$2.7k	$454	17%	—	$2.1k – $3.2k
18	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$2.9k	$2.9k	$481	17%	—	$2.3k – $3.4k
19	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$3.0k	$3.0k	$495	17%	—	$2.3k – $3.5k
20	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$3.0k	$3.0k	$495	17%	—	$2.3k – $3.5k
21	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$3.0k	$3.0k	$495	17%	—	$2.3k – $3.5k

Last updated: Nov 10, 2025

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