CT scan of upper arm without contrast dye at Valley County 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 UPPER EXTREMITY W/O DYE

Ord, NE

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Pricing by billing methodology

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How this price compares nationally

Valley County Hospital’s median price of $169 is 53% below the median hospital's median price ($363), higher than 25% of the 2,657 hospitals reporting CPT 73200. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73200 at Valley County Hospital

Negotiated rates from the hospital’s own file: 8 payers, 30 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	Bcbs Ne medicare advantage professional · fee schedule · both	$98	$95	$40	42%	—	$44 – $143
2	Medica medicare advantage professional · fee schedule · both	$98	$95	$40	42%	—	$44 – $143
3	UnitedHealthcare medicare advantage professional · fee schedule · both	$98	$95	$40	42%	—	$44 – $143
4	Humana medicare advantage professional · fee schedule · both	$100	$97	$41	42%	—	$45 – $145
5	WellCare medicare advantage/dual needs plan professional · fee schedule · both	$101	$98	$41	42%	—	$46 – $147
6	Aetna medicare advantage professional · fee schedule · both	$103	$100	$42	42%	—	$46 – $150
7	UnitedHealthcare managed medicaid professional · fee schedule · both	$161	$161	$100	62%	—	$61 – $261
8	Molina managed medicaid/chip professional · fee schedule · both	$163	$163	$101	62%	—	$62 – $264
9	Molina dual eligible plan professional · fee schedule · both	$166	$166	$103	62%	—	$63 – $269
10	Medica individual and family business plans professional · fee schedule · both	$189	$183	$77	42%	—	$85 – $274
11	Bcbs Ne commercial professional · case rate · both	$194	$187	$79	42%	—	$87 – $281
12	Medica commercial plans/care system products professional · fee schedule · both	$199	$192	$81	42%	—	$90 – $289
13	MultiPlan primary/complementary ppo professional · fee schedule · both	$317	$307	$130	42%	—	$143 – $461
14	Bcbs Ne medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$504	$504	—	—	1–10	$504 – $504
15	Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$504	$504	—	—	—	$504 – $504
16	UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$504	$504	—	—	1–10	$504 – $504
17	Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$514	$514	—	—	1–10	$514 – $514
18	UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
19	Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
20	Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	1–10	$1.3k – $1.3k
21	WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
22	Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
23	Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
24	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$2.4k	$2.4k	—	—	1–10	$2.4k – $2.4k
25	Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges	$2.4k	$2.4k	—	—	—	$2.4k – $2.4k

Page 1 of 2 · 30 rates

Last updated: Jun 15, 2026

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