Cardiac CT angiogram of heart arteries at Mount Carmel Dublin

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

PR Cta Heart W/3d Image W/Contrast|PROFESSIONAL COMPONENT

Dublin, OH

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How this price compares nationally

Mount Carmel Dublin’s median price of $256 is 51% below the median hospital's median price ($525), higher than 6% of the 2,247 hospitals reporting CPT 75574. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 75574 at Mount Carmel Dublin

Negotiated rates from the hospital’s own file: 33 payers, 98 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 aetna medicare advantage professional · fee schedule · inpatient	$106	$106	—	—	—	$106 – $106
2	Aetna aetna medicare advantage professional · fee schedule · outpatient	$106	$106	—	—	—	$106 – $106
3	Humana tricare professional · fee schedule · inpatient	$107	$107	—	—	—	$107 – $107
4	Humana tricare professional · fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
5	Tricare tricare professional · fee schedule · inpatient	$107	$107	—	—	—	$107 – $107
6	Tricare tricare professional · fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
7	UnitedHealthcare united healthcare professional · fee schedule · inpatient	$171	$171	—	—	—	$171 – $171
8	UnitedHealthcare united healthcare professional · fee schedule · outpatient	$171	$171	—	—	—	$171 – $171
9	Aetna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$256	$256	—	—	—	$256 – $256
10	Aetna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$256	$256	—	—	—	$256 – $256
11	Ambetter pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$256	$256	—	—	—	$256 – $256
12	Ambetter pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$256	$256	—	—	—	$256 – $256
13	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$256	$256	—	—	—	$256 – $256
14	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$256	$256	—	—	—	$256 – $256
15	Anthem pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$256	$256	—	—	—	$256 – $256
16	Anthem pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$256	$256	—	—	—	$256 – $256
17	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$256	$256	—	—	—	$256 – $256
18	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$256	$256	—	—	—	$256 – $256
19	Carefirst pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$256	$256	—	—	—	$256 – $256
20	Carefirst pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$256	$256	—	—	—	$256 – $256
21	Caresource pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$256	$256	—	—	—	$256 – $256
22	Caresource pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$256	$256	—	—	—	$256 – $256
23	Cigna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$256	$256	—	—	—	$256 – $256
24	Cigna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$256	$256	—	—	—	$256 – $256
25	Clover pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$256	$256	—	—	—	$256 – $256

Page 1 of 4 · 98 rates

Last updated: Mar 31, 2026

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