Bilateral breast CT scan without contrast 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 BI 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 $864 is 182% above the median hospital's median price ($306), higher than 88% of the 1,254 hospitals reporting CPT 0636T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 0636T 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	$112	$112	—	—	—	$112 – $112
2	Cigna cigna healthsprings medicare advantage other · outpatient	$150	$150	—	—	—	$150 – $150
3	Blue Cross Blue Shield bcbs medicare advantage-p fee schedule · outpatient	$235	$235	—	—	—	$235 – $235
4	Medicare medicare fee schedule · outpatient	$235	$235	—	—	—	$235 – $235
5	UnitedHealthcare uhc medicare fee schedule · outpatient	$235	$235	—	—	—	$235 – $235
6	Aetna aetna medicare fee schedule · outpatient	$238	$238	—	—	—	$238 – $238
7	Humana humana medicare advantage hmo fee schedule · outpatient	$238	$238	—	—	—	$238 – $238
8	Caresource caresource medicare advantage fee schedule · outpatient	$243	$243	—	—	—	$243 – $243
9	Kaiser kaiser medicare advantage fee schedule · outpatient	$243	$243	—	—	—	$243 – $243
10	WellCare wellcare medicare advantage fee schedule · outpatient	$243	$243	—	—	—	$243 – $243
11	Humana humana medicare advantage ppo fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
12	Clover clover health fee schedule · outpatient	$247	$247	—	—	—	$247 – $247
13	Caresource caresource marketplace percent of total billed charges · inpatientfrom % of charges	$321	$321	—	—	—	$321 – $321
14	Caresource caresource marketplace percent of total billed charges · outpatientfrom % of charges	$321	$321	—	—	—	$321 – $321
15	Aetna aetna whole health percent of total billed charges · outpatientfrom % of charges	$432	$432	—	—	—	$432 – $432
16	Aetna aetna whole health-g percent of total billed charges · outpatientfrom % of charges	$432	$432	—	—	—	$432 – $432
17	Aetna aetna hmo/pos/ppo percent of total billed charges · outpatientfrom % of charges	$588	$588	—	—	—	$588 – $588
18	Aetna aetna hmo/pos/ppo-g percent of total billed charges · outpatientfrom % of charges	$588	$588	—	—	—	$588 – $588
19	Aetna aetna hmo/pos/ppo-q percent of total billed charges · outpatientfrom % of charges	$588	$588	—	—	—	$588 – $588
20	Blue Cross Blue Shield bcbs prudt buyer percent of total billed charges · inpatientfrom % of charges	$602	$602	—	—	—	$602 – $602
21	Blue Cross Blue Shield bcbs prudt buyer percent of total billed charges · outpatientfrom % of charges	$602	$602	—	—	—	$602 – $602
22	Phcs phcs percent of total billed charges · outpatientfrom % of charges	$648	$648	—	—	—	$648 – $648
23	Oscar oscar other · outpatient	$695	$695	—	—	—	$695 – $695
24	MultiPlan multiplan ppo percent of total billed charges · inpatientfrom % of charges	$734	$734	—	—	—	$734 – $734
25	MultiPlan multiplan ppo percent of total billed charges · outpatientfrom % of charges	$734	$734	—	—	—	$734 – $734

Page 1 of 3 · 74 rates

Last updated: Feb 14, 2026

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