CT upper extremity scan with contrast dye at Page Hospital

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 EXT UPPER W CNT LT

Page, AZ

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Pricing by billing methodology

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How this price compares nationally

Page Hospital’s median price of $242 is 60% below the median hospital's median price ($608), higher than 6% 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 Page Hospital

Negotiated rates from the hospital’s own file: 8 payers, 24 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	Humana medicare advantage facility · fee schedule · outpatient	$148	$148	—	—	—	$148 – $148
2	Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$100	$262	$239	91%	—	$50 – $554
3	Aetna banner employee plans facility · per diem · outpatient	$341	$341	—	—	—	$341 – $341
4	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$157	$409	$374	91%	—	$78 – $865
5	Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$157	$409	$374	91%	—	$78 – $865
6	Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges	$157	$409	$374	91%	—	$78 – $865
7	Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$157	$409	$374	91%	—	$78 – $865
8	Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$173	$450	$411	91%	—	$86 – $951
9	Bcbs Az bxbsaz neighborhood facility · percent of total billed charges · outpatientfrom % of charges	$175	$456	$417	91%	—	$88 – $966
10	Bcbs Az bxbsaz alliance/bxbsaz blue hpn facility · percent of total billed charges · outpatientfrom % of charges	$187	$487	$445	91%	—	$93 – $1.0k
11	Bcbs Az bxbsaz alliance chs facility · percent of total billed charges · outpatientfrom % of charges	$196	$511	$467	91%	—	$98 – $1.1k
12	Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges	$213	$556	$508	91%	—	$107 – $1.2k
13	Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges	$215	$560	$512	91%	—	$107 – $1.2k
14	Bcbs Az bcbsaz medicare facility · percent of total billed charges · outpatientfrom % of charges	$234	$608	$556	91%	—	$117 – $1.3k
15	Bcbs Az bcbsaz workers comp facility · percent of total billed charges · outpatientfrom % of charges	$234	$608	$556	91%	—	$117 – $1.3k
16	Bcbs Az commercial facility · percent of total billed charges · outpatientfrom % of charges	$234	$608	$556	91%	—	$117 – $1.3k
17	Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges	$259	$674	$616	91%	—	$129 – $1.4k
18	Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges	$264	$687	$628	91%	—	$132 – $1.5k
19	Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges	$264	$687	$628	91%	—	$132 – $1.5k
20	Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges	$269	$700	$640	91%	—	$134 – $1.5k
21	Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges	$273	$710	$649	91%	—	$136 – $1.5k
22	Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges	$273	$710	$649	91%	—	$136 – $1.5k
23	UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$865	$865	—	—	—	$865 – $865
24	UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges	$898	$898	—	—	—	$898 – $898

Last updated: Mar 2, 2026

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