Breast CT scan with contrast, both sides 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 $1.1k is 159% above the median hospital's median price ($435), higher than 91% of the 1,252 hospitals reporting CPT 0637T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 0637T 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	$180	$180	—	—	—	$180 – $180
2	Cigna cigna healthsprings medicare advantage other · outpatient	$240	$240	—	—	—	$240 – $240
3	Blue Cross Blue Shield bcbs medicare advantage-p fee schedule · outpatient	$344	$344	—	—	—	$344 – $344
4	Medicare medicare fee schedule · outpatient	$344	$344	—	—	—	$344 – $344
5	UnitedHealthcare uhc medicare fee schedule · outpatient	$344	$344	—	—	—	$344 – $344
6	Aetna aetna medicare fee schedule · outpatient	$348	$348	—	—	—	$348 – $348
7	Humana humana medicare advantage hmo fee schedule · outpatient	$348	$348	—	—	—	$348 – $348
8	Caresource caresource medicare advantage fee schedule · outpatient	$355	$355	—	—	—	$355 – $355
9	Kaiser kaiser medicare advantage fee schedule · outpatient	$355	$355	—	—	—	$355 – $355
10	WellCare wellcare medicare advantage fee schedule · outpatient	$355	$355	—	—	—	$355 – $355
11	Humana humana medicare advantage ppo fee schedule · outpatient	$358	$358	—	—	—	$358 – $358
12	Clover clover health fee schedule · outpatient	$361	$361	—	—	—	$361 – $361
13	Caresource caresource marketplace percent of total billed charges · inpatientfrom % of charges	$514	$514	—	—	—	$514 – $514
14	Caresource caresource marketplace percent of total billed charges · outpatientfrom % of charges	$514	$514	—	—	—	$514 – $514
15	Aetna aetna whole health percent of total billed charges · outpatientfrom % of charges	$692	$692	—	—	—	$692 – $692
16	Aetna aetna whole health-g percent of total billed charges · outpatientfrom % of charges	$692	$692	—	—	—	$692 – $692
17	Oscar oscar other · outpatient	$695	$695	—	—	—	$695 – $695
18	Blue Cross Blue Shield bcbs_pathway case rate · outpatient	$926	$926	—	—	—	$926 – $926
19	Blue Cross Blue Shield bcbs_pathway-l case rate · outpatient	$926	$926	—	—	—	$926 – $926
20	Aetna aetna hmo/pos/ppo percent of total billed charges · outpatientfrom % of charges	$940	$940	—	—	—	$940 – $940
21	Aetna aetna hmo/pos/ppo-g percent of total billed charges · outpatientfrom % of charges	$940	$940	—	—	—	$940 – $940
22	Aetna aetna hmo/pos/ppo-q percent of total billed charges · outpatientfrom % of charges	$940	$940	—	—	—	$940 – $940
23	Blue Cross Blue Shield bcbs prudt buyer percent of total billed charges · inpatientfrom % of charges	$964	$964	—	—	—	$964 – $964
24	Blue Cross Blue Shield bcbs prudt buyer percent of total billed charges · outpatientfrom % of charges	$964	$964	—	—	—	$964 – $964
25	Phcs phcs percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k

Page 1 of 3 · 74 rates

Last updated: Feb 14, 2026

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