Breast CT scan without contrast dye at Northside Hospital, Inc.

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 BREAST W/3D UNI C-

Duluth, GA

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Pricing by billing methodology

Price type

How this price compares nationally

Northside Hospital, Inc.’s median price of $411 is 176% above the median hospital's median price ($149), higher than 84% of the 1,258 hospitals reporting CPT 0633T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 0633T at Northside Hospital, Inc.

Negotiated rates from the hospital’s own file: 14 payers, 74 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	Caresource caresource other · outpatient	$53	$53	—	—	—	$53 – $53
2	Cigna cigna healthsprings medicare advantage other · outpatient	$71	$71	—	—	—	$71 – $71
3	Blue Cross Blue Shield bcbs medicare advantage-p fee schedule · outpatient	$103	$103	—	—	—	$103 – $103
4	Medicare medicare fee schedule · outpatient	$103	$103	—	—	—	$103 – $103
5	UnitedHealthcare uhc medicare fee schedule · outpatient	$103	$103	—	—	—	$103 – $103
6	Aetna aetna medicare fee schedule · outpatient	$104	$104	—	—	—	$104 – $104
7	Humana humana medicare advantage hmo fee schedule · outpatient	$104	$104	—	—	—	$104 – $104
8	Caresource caresource medicare advantage fee schedule · outpatient	$106	$106	—	—	—	$106 – $106
9	Kaiser kaiser medicare advantage fee schedule · outpatient	$106	$106	—	—	—	$106 – $106
10	WellCare wellcare medicare advantage fee schedule · outpatient	$106	$106	—	—	—	$106 – $106
11	Humana humana medicare advantage ppo fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
12	Clover clover health fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
13	Caresource caresource marketplace percent of total billed charges · inpatientfrom % of charges	$153	$153	—	—	—	$153 – $153
14	Caresource caresource marketplace percent of total billed charges · outpatientfrom % of charges	$153	$153	—	—	—	$153 – $153
15	Aetna aetna whole health percent of total billed charges · outpatientfrom % of charges	$206	$206	—	—	—	$206 – $206
16	Aetna aetna whole health-g percent of total billed charges · outpatientfrom % of charges	$206	$206	—	—	—	$206 – $206
17	Aetna aetna hmo/pos/ppo percent of total billed charges · outpatientfrom % of charges	$279	$279	—	—	—	$279 – $279
18	Aetna aetna hmo/pos/ppo-g percent of total billed charges · outpatientfrom % of charges	$279	$279	—	—	—	$279 – $279
19	Aetna aetna hmo/pos/ppo-q percent of total billed charges · outpatientfrom % of charges	$279	$279	—	—	—	$279 – $279
20	Blue Cross Blue Shield bcbs prudt buyer percent of total billed charges · inpatientfrom % of charges	$286	$286	—	—	—	$286 – $286
21	Blue Cross Blue Shield bcbs prudt buyer percent of total billed charges · outpatientfrom % of charges	$286	$286	—	—	—	$286 – $286
22	Phcs phcs percent of total billed charges · outpatientfrom % of charges	$308	$308	—	—	—	$308 – $308
23	MultiPlan multiplan ppo percent of total billed charges · inpatientfrom % of charges	$349	$349	—	—	—	$349 – $349
24	MultiPlan multiplan ppo percent of total billed charges · outpatientfrom % of charges	$349	$349	—	—	—	$349 – $349
25	MultiPlan multiplan workers comp percent of total billed charges · inpatientfrom % of charges	$349	$349	—	—	—	$349 – $349

Page 1 of 3 · 74 rates

Last updated: Feb 14, 2026

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