CT scan of upper arm without and with contrast at St.davids Surgical 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

CT UP EXTRM W&W/O CON BI

Austin, TX

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Pricing by billing methodology

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How this price compares nationally

St.davids Surgical Hospital’s median price of $565 is 11% above the median hospital's median price ($511), higher than 52% of the 2,422 hospitals reporting CPT 73202. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73202 at St.davids Surgical Hospital

Negotiated rates from the hospital’s own file: 8 payers, 31 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	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$63	$84	$30	35%	—	$63 – $126
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$63	$84	$30	35%	—	$63 – $126
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$63	$84	$30	35%	—	$63 – $126
4	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$63	$84	$30	35%	—	$63 – $126
5	Humana mgmcd fee schedule · outpatient	$219	$219	—	—	—	$219 – $219
6	Aetna Better Health mcd fee schedule · outpatient	$221	$221	—	—	—	$221 – $221
7	UnitedHealthcare narrownetworkhix fee schedule · outpatient	$273	$273	—	—	—	$273 – $273
8	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$214	$285	$101	35%	—	$214 – $427
9	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$214	$285	$101	35%	—	$214 – $427
10	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$214	$285	$101	35%	—	$214 – $427
11	UnitedHealthcare allpayerappendix fee schedule · outpatient	$402	$402	—	—	—	$402 – $402
12	UnitedHealthcare smallgroup fee schedule · outpatient	$402	$402	—	—	—	$402 – $402
13	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$415	$415	—	—	—	$415 – $415
14	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$313	$417	$148	35%	—	$313 – $626
15	Humana hmo percent of total billed charges · outpatientfrom % of charges	$349	$465	$165	35%	—	$349 – $698
16	Humana ppo percent of total billed charges · outpatientfrom % of charges	$349	$465	$165	35%	—	$349 – $698
17	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$371	$494	$175	35%	—	$371 – $742
18	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$507	$507	—	—	—	$507 – $507
19	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$702	$702	—	—	—	$702 – $702
20	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$702	$702	—	—	—	$702 – $702
21	UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges	$565	$754	$267	35%	—	$565 – $1.1k
22	Blue Cross Blue Shield eposoa fee schedule · outpatient	$776	$776	—	—	—	$776 – $776
23	Blue Cross Blue Shield ppo fee schedule · outpatient	$851	$851	—	—	—	$851 – $851
24	First Health ppo percent of total billed charges · outpatientfrom % of charges	$867	$1.1k	$391	37%	—	$710 – $1.7k
25	MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges	$942	$1.3k	$445	35%	—	$942 – $1.9k

Page 1 of 2 · 31 rates

Last updated: Sep 1, 2026

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