CT upper extremity scan with contrast dye at Longview Medical Center LP

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-UPPER EXT W

Longview, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Longview Medical Center LP’s median price of $436 is 28% below the median hospital's median price ($608), higher than 31% of the 2,587 hospitals reporting CPT 73201. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73201 at Longview Medical Center LP

Negotiated rates from the hospital’s own file: 10 payers, 37 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	Medicaid node tx medicaid facility · fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
2	UnitedHealthcare node uhc chip medicaid tx facility · fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
3	UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
4	Molina node molina chip medicaid tx facility · per diem · outpatient	$217	$217	—	—	—	$217 – $217
5	Superior Healthplan node superior star kids medicaid tx facility · fee schedule · outpatient	$217	$217	—	—	—	$217 – $217
6	Blue Cross Blue Shield bcbs tx blue adv facility · other · outpatient	$330	$330	—	—	—	$330 – $330
7	Humana node humana mcr adv facility · fee schedule · outpatient	$345	$345	—	—	—	$345 – $345
8	Humana node wellmed humana mcr adv facility · fee schedule · outpatient	$345	$345	—	—	—	$345 – $345
9	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$345	$345	—	—	—	$345 – $345
10	UnitedHealthcare node wellmed uhc mcr adv facility · fee schedule · outpatient	$345	$345	—	—	—	$345 – $345
11	Tricare node tricare facility · fee schedule · outpatient	$350	$350	—	—	—	$350 – $350
12	Aetna node aetna mcr adv facility · other · outpatient	$352	$352	—	—	—	$352 – $352
13	Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient	$352	$352	—	—	—	$352 – $352
14	Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient	$352	$352	—	—	—	$352 – $352
15	UnitedHealthcare node uhc star plus medicaid tx facility · fee schedule · outpatient	$434	$434	—	—	—	$434 – $434
16	Molina node molina star plus medicaid tx facility · per diem · outpatient	$455	$455	—	—	—	$455 – $455
17	UnitedHealthcare node uhc star kids medicaid tx facility · other · outpatient	$481	$481	—	—	—	$481 – $481
18	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$549	$549	—	—	—	$549 – $549
19	Blue Cross Blue Shield bcbs tx blue choice options facility · other · outpatient	$563	$563	—	—	—	$563 – $563
20	Blue Cross Blue Shield bcbs tx hmo facility · other · outpatient	$563	$563	—	—	—	$563 – $563
21	Blue Cross Blue Shield bcbs tx ppo trad facility · other · outpatient	$606	$606	—	—	—	$606 – $606
22	UnitedHealthcare uhc health select facility · percent of total billed charges · outpatientfrom % of charges	$631	$631	—	—	—	$631 – $631
23	UnitedHealthcare uhc exchange facility · per diem · outpatient	$666	$666	—	—	—	$666 – $666
24	Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges	$722	$722	—	—	—	$722 – $722
25	Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges	$722	$722	—	—	—	$722 – $722

Page 1 of 2 · 37 rates

Last updated: Apr 1, 2026

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See CT upper extremity scan with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.