CT angiography of the chest at St Nicholas Hospital Of The Hospital Sisters Of The Third Order Of St Francis

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

HC CTA CHEST W&W/O CONTRAST

SHEBOYGAN, WI

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How this price compares nationally

St Nicholas Hospital Of The Hospital Sisters Of The Third Order Of St Francis’s median price of $1.3k is 146% above the median hospital's median price ($518), higher than 75% of the 2,627 hospitals reporting CPT 71275. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 71275 at St Nicholas Hospital Of The Hospital Sisters Of The Third Order Of St Francis

Negotiated rates from the hospital’s own file: 9 payers, 22 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	Molina molina medicare fee schedule · both	$171.53	$162.17	$68.61 – $171.53
2	Anthem antehm medicaid fee schedule · both	$164.22	$164.22	$164.22 – $164.22
3	Aetna aetna medicare fee schedule · both	$171.53	$171.53	$171.53 – $171.53
4	Anthem anthem medicare advantage hmo fee schedule · both	$171.53	$171.53	$171.53 – $171.53
5	Humana humana medicare advantage fee schedule · both	$171.53	$171.53	$171.53 – $171.53
6	Medica medica medicare advantage fee schedule · both	$171.53	$171.53	$171.53 – $171.53
7	UnitedHealthcare united health care medicare fee schedule · both	$171.53	$171.53	$171.53 – $171.53
8	Molina molina medicaid fee schedule · both	$174.07	$174.07	$174.07 – $174.07
9	Anthem anthem pos/hmo other · both	$1,239	$1,239	$1,239 – $1,239
10	Anthem anthem ppo other · both	$1,239	$1,239	$1,239 – $1,239
11	UnitedHealthcare all commercial united healthcare other · both	$1,248	$1,248	$1,248 – $1,248
12	UnitedHealthcare uhc oneida nation other · both	$1,248	$1,248	$1,248 – $1,248
13	UnitedHealthcare united healthcare other · both	$1,248	$1,248	$1,248 – $1,248
14	Humana all commercial humana hpn choicecare other · both	$1,273	$1,273	$1,273 – $1,273
15	Humana humana choice care hmo other · both	$1,273	$1,273	$1,273 – $1,273
16	Humana humana natiional pos hmo other · both	$1,273	$1,273	$1,273 – $1,273
17	Molina all commerical molina marketplace percent of total billed charges · bothfrom % of charges	$1,409	$1,409	$1,409 – $1,409
18	Cigna all commercial cigna percent of total billed charges · bothfrom % of charges	$1,973	$1,973	$1,973 – $1,973
19	MultiPlan all commercial multiplan percent of total billed charges · bothfrom % of charges	$2,367	$2,367	$2,367 – $2,367
20	Humana humana choice care ppo percent of total billed charges · bothfrom % of charges	$2,395	$2,395	$2,395 – $2,395
21	First Health all commercial first health network percent of total billed charges · bothfrom % of charges	$2,677	$2,677	$2,677 – $2,677
22	Aetna all commercial aetna percent of total billed charges · bothfrom % of charges	$2,818	$2,818	$2,818 – $2,818

Last updated: Mar 24, 2026

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