CT abdomen without and with 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 Followed by Contrast Material|PROFESSIONAL COMPONENT

Troy, NY

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How this price compares nationally

Samaritan Hospital’s median price of $228 is 54% below the median hospital's median price ($500), higher than 18% of the 2,678 hospitals reporting CPT 74170. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 74170 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	$60	$60	—	—	—	$60 – $60
2	Humana tricare professional · fee schedule · outpatient	$60	$60	—	—	—	$60 – $60
3	Tricare tricare professional · fee schedule · inpatient	$60	$60	—	—	—	$60 – $60
4	Tricare tricare professional · fee schedule · outpatient	$60	$60	—	—	—	$60 – $60
5	Aetna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
6	Ambetter pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
7	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
8	Anthem pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	4–40	$171 – $171
9	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	1–10	$171 – $171
10	Carefirst pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
11	Caresource pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
12	Cigna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
13	Clover pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
14	Devoted pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
15	Excellus pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
16	First Health pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
17	Highmark pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	1–10	$171 – $171
18	Humana pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	1–10	$171 – $171
19	Kaiser pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
20	Magellan pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
21	Medcost pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
22	Medica pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
23	Medicaid pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
24	Medical Mutual pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	—	$171 – $171
25	Medicare pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$171	$171	—	—	23	$171 – $171

Page 1 of 5 · 109 rates

Last updated: Mar 31, 2026

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