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.
Original text from hospital filings
PR Cta Head W/O &/or W/Contrast|PROFESSIONAL COMPONENT
Troy, NY
See all hospitals reporting CPT 70496 →Price type
Samaritan Hospital’s median price of $215 is 59% below the median hospital's median price ($519), higher than 13% of the 2,615 hospitals reporting CPT 70496. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 34 payers, 129 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 tricare professional · fee schedule · inpatient | $74.73 | $74.73 | $74.73 – $74.73 |
| 2 | Humana tricare professional · fee schedule · outpatient | $74.73 | $74.73 | $74.73 – $74.73 |
| 3 | Tricare tricare professional · fee schedule · inpatient | $74.73 | $74.73 | $74.73 – $74.73 |
| 4 | Tricare tricare professional · fee schedule · outpatient | $74.73 | $74.73 | $74.73 – $74.73 |
| 5 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both | $180.15 | $180.15 | $180.15 – $180.15 |
| 6 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · outpatient | $180.15 | $180.15 | $180.15 – $180.15 |
| 7 | Aetna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $181.00 | $181.00 | $181.00 – $181.00 |
| 8 | Ambetter pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $181.00 | $181.00 | $181.00 – $181.00 |
| 9 | Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $181.00 | $181.00 | $181.00 – $181.00 |
| 10 | Anthem pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $181.00 | $181.00 | $181.00 – $181.00 |
| 11 | Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $181.00 | $181.00 | $181.00 – $181.00 |
| 12 | Carefirst pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $181.00 | $181.00 | $181.00 – $181.00 |
| 13 | Caresource pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $181.00 | $181.00 | $181.00 – $181.00 |
| 14 | Cigna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $181.00 | $181.00 | $181.00 – $181.00 |
| 15 | Clover pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $181.00 | $181.00 | $181.00 – $181.00 |
| 16 | Devoted pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $181.00 | $181.00 | $181.00 – $181.00 |
| 17 | Excellus pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $181.00 | $181.00 | $181.00 – $181.00 |
| 18 | First Health pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $181.00 | $181.00 | $181.00 – $181.00 |
| 19 | Highmark pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $181.00 | $181.00 | $181.00 – $181.00 |
| 20 | Humana pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $181.00 | $181.00 | $181.00 – $181.00 |
| 21 | Kaiser pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $181.00 | $181.00 | $181.00 – $181.00 |
| 22 | Magellan pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $181.00 | $181.00 | $181.00 – $181.00 |
| 23 | Medcost pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $181.00 | $181.00 | $181.00 – $181.00 |
| 24 | Medica pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $181.00 | $181.00 | $181.00 – $181.00 |
| 25 | Medicaid pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $181.00 | $181.00 | $181.00 – $181.00 |
Last updated: Mar 31, 2026
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