CT upper extremity scan with contrast dye at Medical City Plano

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 UP EXTREM W/CONT LT

Plano, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Medical City Plano’s median price of $2.3k is 276% above the median hospital's median price ($608), higher than 91% 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 Medical City Plano

Negotiated rates from the hospital’s own file: 10 payers, 43 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 chip fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
2	UnitedHealthcare star fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
3	UnitedHealthcare starkids fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
4	UnitedHealthcare starperinate fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
5	UnitedHealthcare starplus fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
6	Cigna Healthspring mgmcd fee schedule · outpatient	$217	$217	—	—	—	$217 – $217
7	Aetna Better Health chip fee schedule · outpatient	$223	$223	—	—	—	$223 – $223
8	Aetna Better Health mcd fee schedule · outpatient	$223	$223	—	—	—	$223 – $223
9	Molina chip fee schedule · outpatient	$229	$229	$2	1%	—	$227 – $231
10	Molina mcdstar fee schedule · outpatient	$229	$229	$2	1%	—	$227 – $231
11	Molina star+plus fee schedule · outpatient	$229	$229	$2	1%	—	$227 – $231
12	Molina starkids fee schedule · outpatient	$229	$229	$2	1%	—	$227 – $231
13	Humana mgmcd fee schedule · outpatient	$258	$258	—	—	—	$258 – $258
14	UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient	$341	$341	—	—	—	$341 – $341
15	UnitedHealthcare smallgroup fee schedule · outpatient	$341	$341	—	—	—	$341 – $341
16	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$358	$447	$126	28%	—	$358 – $625
17	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$358	$447	$126	28%	—	$358 – $625
18	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$358	$447	$126	28%	—	$358 – $625
19	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$358	$447	$126	28%	—	$358 – $625
20	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$358	$447	$126	28%	—	$358 – $625
21	Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient	$481	$481	—	—	—	$481 – $481
22	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$481	$481	—	—	—	$481 – $481
23	Blue Cross Blue Shield bluepremier fee schedule · outpatient	$496	$496	—	—	—	$496 – $496
24	Aetna qhphix other · outpatient	$584	$584	—	—	—	$584 – $584
25	Humana comm fee schedule · outpatient	$661	$661	—	—	—	$661 – $661

Page 1 of 2 · 43 rates

Last updated: Mar 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.