CT angiography lower extremity with and without contrast at Samaritan 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

PR Cta Lower Extremity W Contrast Including Noncontrast Images|PROFESSIONAL COMPONENT|BILATERAL PROCEDURE

Troy, NY

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How this price compares nationally

Samaritan Hospital’s median price of $388 is 25% below the median hospital's median price ($519), higher than 38% of the 2,515 hospitals reporting CPT 73706. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73706 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 34 payers, 109 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	$101	$101	$20	20%	—	$81 – $121
2	Humana tricare professional · fee schedule · outpatient	$101	$101	$20	20%	—	$81 – $121
3	Tricare tricare professional · fee schedule · inpatient	$101	$101	$20	20%	—	$81 – $121
4	Tricare tricare professional · fee schedule · outpatient	$101	$101	$20	20%	—	$81 – $121
5	UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both	$211	$211	—	—	—	$211 – $211
6	Anthem empire bcbs medicare advantage facility · other · both	$215	$215	—	—	—	$215 – $215
7	UnitedHealthcare united healthcare medicare advantage facility · other · both	$223	$223	—	—	—	$223 – $223
8	Aetna aetna medicare advantage facility · other · both	$232	$232	—	—	—	$232 – $232
9	WellCare wellcare medicare advantage facility · other · both	$239	$239	—	—	—	$239 – $239
10	Excellus blue shield of ne new york medicare adv facility · other · both	$241	$241	—	—	—	$241 – $241
11	Highmark blue shield of ne new york medicare adv facility · other · both	$241	$241	—	—	—	$241 – $241
12	Anthem empire medicaid facility · fee schedule · both	$272	$272	—	—	—	$272 – $272
13	Excellus empire medicaid facility · fee schedule · both	$272	$272	—	—	—	$272 – $272
14	Aetna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$291	$291	$97	33%	—	$194 – $388
15	Ambetter pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$291	$291	$97	33%	—	$194 – $388
16	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$291	$291	$97	33%	—	$194 – $388
17	Anthem pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$291	$291	$97	33%	—	$194 – $388
18	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$291	$291	$97	33%	—	$194 – $388
19	Carefirst pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$291	$291	$97	33%	—	$194 – $388
20	Caresource pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$291	$291	$97	33%	—	$194 – $388
21	Cigna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$291	$291	$97	33%	—	$194 – $388
22	Clover pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$291	$291	$97	33%	—	$194 – $388
23	Devoted pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$291	$291	$97	33%	—	$194 – $388
24	Excellus pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$291	$291	$97	33%	—	$194 – $388
25	First Health pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$291	$291	$97	33%	—	$194 – $388

Page 1 of 5 · 109 rates

Last updated: Mar 31, 2026

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