""CT LOWER EXT W CONTRAST LEFT"" at Stonewall Memorial Hospital

79502, TX

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Pricing by billing methodology

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Payers reporting CPT 73701-LT at Stonewall Memorial Hospital

Negotiated rates from the hospital’s own file: 5 payers, 8 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	UnitedHealthcare comm other · outpatient	$700	$700	—	—	—	$700 – $700
2	Aetna mdc adv percent of total billed charges · outpatientfrom % of charges	$983	$983	—	—	—	$983 – $983
3	Humana mdc adv percent of total billed charges · outpatientfrom % of charges	$983	$983	—	—	—	$983 – $983
4	UnitedHealthcare mdc adv percent of total billed charges · outpatientfrom % of charges	$983	$983	—	—	—	$983 – $983
5	Cigna comm percent of total billed charges · inpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
6	Cigna comm percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
7	Blue Cross Blue Shield comm percent of total billed charges · inpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
8	Blue Cross Blue Shield comm percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k

Last updated: Mar 11, 2026

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