CT scan of lower body with contrast dye 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/CON RT

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 $505 is 2% above the median hospital's median price ($497), higher than 51% of the 2,613 hospitals reporting CPT 73701. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73701 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	$56	$75	$26	35%	—	$56 – $112
2	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$56	$75	$26	35%	—	$56 – $112
3	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$56	$75	$26	35%	—	$56 – $112
4	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$56	$75	$26	35%	—	$56 – $112
5	Humana mgmcd fee schedule · outpatient	$214	$214	—	—	—	$214 – $214
6	Aetna Better Health mcd fee schedule · outpatient	$216	$216	—	—	—	$216 – $216
7	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$191	$254	$90	35%	—	$191 – $382
8	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$191	$254	$90	35%	—	$191 – $382
9	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$191	$254	$90	35%	—	$191 – $382
10	UnitedHealthcare narrownetworkhix fee schedule · outpatient	$273	$273	—	—	—	$273 – $273
11	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$280	$373	$132	35%	—	$280 – $559
12	UnitedHealthcare allpayerappendix fee schedule · outpatient	$402	$402	—	—	—	$402 – $402
13	UnitedHealthcare smallgroup fee schedule · outpatient	$402	$402	—	—	—	$402 – $402
14	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$415	$415	—	—	—	$415 – $415
15	Humana hmo percent of total billed charges · outpatientfrom % of charges	$312	$416	$147	35%	—	$312 – $624
16	Humana ppo percent of total billed charges · outpatientfrom % of charges	$312	$416	$147	35%	—	$312 – $624
17	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$331	$442	$156	35%	—	$331 – $662
18	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$507	$507	—	—	—	$507 – $507
19	UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges	$505	$674	$238	35%	—	$505 – $1.0k
20	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$702	$702	—	—	—	$702 – $702
21	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$702	$702	—	—	—	$702 – $702
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	$775	$958	$349	36%	—	$635 – $1.5k
25	MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges	$842	$1.1k	$397	35%	—	$842 – $1.7k

Page 1 of 2 · 31 rates

Last updated: Sep 1, 2026

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