CT upper extremity scan with contrast dye at Sebasticook Valley Health

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 upper extremity w/dye

Pittsfield, ME

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Pricing by billing methodology

Price type

How this price compares nationally

Sebasticook Valley Health’s median price of $182 is 70% below the median hospital's median price ($608), higher than 3% 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 Sebasticook Valley Health

Negotiated rates from the hospital’s own file: 5 payers, 45 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	Aetna mcr advantage facility · case rate · outpatient	$60	$60	—	—	—	$60 – $60
2	UnitedHealthcare mcr advantage facility · case rate · outpatient	$60	$60	—	—	—	$60 – $60
3	WellCare mcr advantage facility · case rate · outpatient	$60	$60	—	—	—	$60 – $60
4	Anthem mcr advantage facility · case rate · outpatient	$60	$60	—	—	—	$60 – $60
5	Aetna mcr advantage professional · percent of total billed charges · outpatientfrom % of charges	$80	$80	—	—	—	$80 – $80
6	Anthem mcr advantage professional · percent of total billed charges · outpatientfrom % of charges	$80	$80	—	—	—	$80 – $80
7	UnitedHealthcare mcr advantage professional · percent of total billed charges · outpatientfrom % of charges	$80	$80	—	—	—	$80 – $80
8	WellCare mcr advantage professional · percent of total billed charges · outpatientfrom % of charges	$80	$80	—	—	—	$80 – $80
9	Aetna mcr advantage professional · fee schedule · outpatient	$131	$121	$54	44%	—	$51 – $182
10	Anthem mcr advantage professional · fee schedule · outpatient	$131	$121	$54	44%	—	$51 – $182
11	UnitedHealthcare mcr advantage professional · fee schedule · outpatient	$134	$124	$55	44%	—	$52 – $186
12	WellCare mcr advantage professional · fee schedule · outpatient	$134	$124	$55	44%	—	$52 – $186
13	Anthem commercial professional · percent of total billed charges · inpatientfrom % of charges	$137	$137	—	—	—	$137 – $137
14	Anthem commercial professional · percent of total billed charges · outpatientfrom % of charges	$137	$137	—	—	—	$137 – $137
15	Anthem enhanced pathways professional · percent of total billed charges · inpatientfrom % of charges	$137	$137	—	—	—	$137 – $137
16	Anthem enhanced pathways professional · percent of total billed charges · outpatientfrom % of charges	$137	$137	—	—	—	$137 – $137
17	Aetna commercial professional · percent of total billed charges · outpatientfrom % of charges	$142	$142	—	—	—	$142 – $142
18	UnitedHealthcare commercial professional · percent of total billed charges · inpatientfrom % of charges	$152	$152	—	—	—	$152 – $152
19	Cigna commercial professional · percent of total billed charges · inpatientfrom % of charges	$157	$157	—	—	—	$157 – $157
20	Cigna commercial professional · percent of total billed charges · outpatientfrom % of charges	$157	$157	—	—	—	$157 – $157
21	Aetna commercial professional · percent of total billed charges · inpatientfrom % of charges	$158	$158	—	—	—	$158 – $158
22	UnitedHealthcare commercial professional · percent of total billed charges · outpatientfrom % of charges	$159	$159	—	—	—	$159 – $159
23	Anthem commercial professional · fee schedule · outpatient	$191	$191	$88	46%	—	$102 – $279
24	Anthem enhanced pathways professional · fee schedule · outpatient	$191	$191	$88	46%	—	$102 – $279
25	Aetna commercial professional · fee schedule · outpatient	$230	$213	$95	44%	—	$89 – $319

Page 1 of 2 · 45 rates

Last updated: Mar 30, 2026

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See CT upper extremity scan with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.