CT scan of abdomen without contrast dye 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 CT Abdomen W/O Contrast|PROFESSIONAL COMPONENT

Troy, NY

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How this price compares nationally

Samaritan Hospital’s median price of $300 is 3% below the median hospital's median price ($310), higher than 49% of the 2,668 hospitals reporting CPT 74150. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74150 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 34 payers, 107 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	$87	$87	$37	42%	—	$51 – $124
2	Humana tricare professional · fee schedule · outpatient	$87	$87	$37	42%	—	$51 – $124
3	Tricare tricare professional · fee schedule · inpatient	$87	$87	$37	42%	—	$51 – $124
4	Tricare tricare professional · fee schedule · outpatient	$87	$87	$37	42%	—	$51 – $124
5	UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both	$116	$116	—	—	—	$116 – $116
6	Anthem empire bcbs medicare advantage facility · other · both	$128	$128	—	—	—	$128 – $128
7	UnitedHealthcare united healthcare medicare advantage facility · other · both	$133	$133	—	—	1–10	$133 – $133
8	Aetna aetna medicare advantage facility · other · both	$138	$138	—	—	—	$138 – $138
9	WellCare wellcare medicare advantage facility · other · both	$143	$143	—	—	—	$143 – $143
10	Excellus blue shield of ne new york medicare adv facility · other · both	$144	$144	—	—	—	$144 – $144
11	Highmark blue shield of ne new york medicare adv facility · other · both	$144	$144	—	—	—	$144 – $144
12	Anthem empire medicaid facility · fee schedule · both	$150	$150	—	—	—	$150 – $150
13	Excellus empire medicaid facility · fee schedule · both	$150	$150	—	—	—	$150 – $150
14	WellCare wellcare ep 1&2 medicaid facility · other · both	$209	$209	—	—	—	$209 – $209
15	Highmark blue shield of ne new york ascend facility · fee schedule · both	$241	$241	—	—	—	$241 – $241
16	Aetna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$255	$255	$109	43%	—	$146 – $363
17	Ambetter pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$255	$255	$109	43%	—	$146 – $363
18	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$255	$255	$109	43%	—	$146 – $363
19	Anthem pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$255	$255	$109	43%	1–10	$146 – $363
20	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$255	$255	$109	43%	2–20	$146 – $363
21	Carefirst pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$255	$255	$109	43%	—	$146 – $363
22	Caresource pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$255	$255	$109	43%	—	$146 – $363
23	Cigna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$255	$255	$109	43%	—	$146 – $363
24	Clover pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$255	$255	$109	43%	—	$146 – $363
25	Devoted pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$255	$255	$109	43%	—	$146 – $363

Page 1 of 5 · 107 rates

Last updated: Mar 31, 2026

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