Cardiac CT scan with contrast for heart structure 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 EVAL CARD FUNC/VEN W/C

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 $583 is 23% above the median hospital's median price ($473), higher than 62% of the 2,079 hospitals reporting CPT 75572. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 75572 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	UnitedHealthcare medicaid facility · percent of total billed charges · outpatientfrom % of charges	$261	$261	$3	1%	—	$258 – $264
2	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$274	$274	$3	1%	—	$271 – $277
3	Aetna qualified health plans facility · percent of total billed charges · outpatientfrom % of charges	$314	$314	$3	1%	—	$311 – $318
4	Aetna medicare prime facility · fee schedule · outpatient	$379	$379	—	—	—	$379 – $379
5	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$409	$409	$5	1%	—	$405 – $414
6	Aetna golden medicare facility · fee schedule · outpatient	$421	$421	—	—	—	$421 – $421
7	Clover clover facility · fee schedule · outpatient	$421	$421	—	—	—	$421 – $421
8	UnitedHealthcare medicare facility · fee schedule · outpatient	$421	$421	—	—	—	$421 – $421
9	WellCare medicare facility · fee schedule · outpatient	$425	$425	—	—	—	$425 – $425
10	Aetna whole health facility · fee schedule · outpatient	$511	$511	—	—	—	$511 – $511
11	UnitedHealthcare uhc facility · other · outpatient	$543	$543	—	—	—	$543 – $543
12	Aetna hmo/pos facility · percent of total billed charges · outpatientfrom % of charges	$551	$551	$6	1%	—	$545 – $557
13	Cigna hmo/pos facility · fee schedule · outpatient	$609	$609	—	—	—	$609 – $609
14	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$782	$782	$9	1%	—	$773 – $791
15	Aetna worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$998	$998	$11	1%	—	$987 – $1.0k
16	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	$12	1%	—	$1.1k – $1.1k
17	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	$15	1%	—	$1.4k – $1.4k
18	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	$16	1%	—	$1.5k – $1.5k
19	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	$17	1%	—	$1.5k – $1.5k
20	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	$17	1%	—	$1.5k – $1.5k
21	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	$17	1%	—	$1.5k – $1.5k

Last updated: Nov 10, 2025

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