CT scan of lower extremity without 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 LOWER EXTRM W/O C LT

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 $256 is 30% below the median hospital's median price ($365), higher than 43% of the 2,655 hospitals reporting CPT 73700. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73700 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	$28	$37	$13	35%	—	$28 – $56
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$28	$37	$13	35%	—	$28 – $56
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$28	$37	$13	35%	—	$28 – $56
4	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$28	$37	$13	35%	—	$28 – $56
5	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$95	$127	$45	35%	—	$95 – $190
6	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$95	$127	$45	35%	—	$95 – $190
7	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$95	$127	$45	35%	—	$95 – $190
8	Humana mgmcd fee schedule · outpatient	$131	$131	—	—	—	$131 – $131
9	Aetna Better Health mcd fee schedule · outpatient	$132	$132	—	—	—	$132 – $132
10	UnitedHealthcare narrownetworkhix fee schedule · outpatient	$167	$167	—	—	—	$167 – $167
11	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$139	$186	$66	35%	—	$139 – $279
12	Humana hmo percent of total billed charges · outpatientfrom % of charges	$156	$207	$73	35%	—	$156 – $311
13	Humana ppo percent of total billed charges · outpatientfrom % of charges	$156	$207	$73	35%	—	$156 – $311
14	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$165	$220	$78	35%	—	$165 – $330
15	UnitedHealthcare allpayerappendix fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
16	UnitedHealthcare smallgroup fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
17	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$256	$256	—	—	—	$256 – $256
18	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$312	$312	—	—	—	$312 – $312
19	UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges	$252	$336	$119	35%	—	$252 – $504
20	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$432	$432	—	—	—	$432 – $432
21	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$432	$432	—	—	—	$432 – $432
22	Blue Cross Blue Shield eposoa fee schedule · outpatient	$477	$477	—	—	—	$477 – $477
23	First Health ppo percent of total billed charges · outpatientfrom % of charges	$386	$478	$174	36%	—	$316 – $772
24	Blue Cross Blue Shield ppo fee schedule · outpatient	$523	$523	—	—	—	$523 – $523
25	MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges	$420	$560	$198	35%	—	$420 – $839

Page 1 of 2 · 31 rates

Last updated: Sep 1, 2026

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