CT upper extremity scan with 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/DYE

Ord, NE

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Pricing by billing methodology

Price type

How this price compares nationally

Valley County Hospital’s median price of $227 is 63% below the median hospital's median price ($608), higher than 6% of the 2,587 hospitals reporting CPT 73201. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73201 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	$135	$124	$56	45%	—	$51 – $186
2	Medica medicare advantage professional · fee schedule · both	$135	$124	$56	45%	—	$51 – $186
3	UnitedHealthcare medicare advantage professional · fee schedule · both	$135	$124	$56	45%	—	$51 – $186
4	Humana medicare advantage professional · fee schedule · both	$137	$126	$57	45%	—	$52 – $189
5	WellCare medicare advantage/dual needs plan professional · fee schedule · both	$139	$127	$57	45%	—	$52 – $191
6	Aetna medicare advantage professional · fee schedule · both	$141	$130	$58	45%	—	$54 – $195
7	UnitedHealthcare managed medicaid professional · fee schedule · both	$195	$195	$130	67%	—	$65 – $325
8	Molina managed medicaid/chip professional · fee schedule · both	$197	$197	$131	67%	—	$65 – $328
9	Molina dual eligible plan professional · fee schedule · both	$200	$200	$134	67%	—	$67 – $334
10	Medica individual and family business plans professional · fee schedule · both	$259	$238	$107	45%	—	$98 – $357
11	Bcbs Ne commercial professional · case rate · both	$265	$244	$109	45%	—	$100 – $366
12	Medica commercial plans/care system products professional · fee schedule · both	$273	$251	$112	45%	—	$103 – $376
13	MultiPlan primary/complementary ppo professional · fee schedule · both	$435	$400	$179	45%	—	$165 – $600
14	Bcbs Ne medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$486	$486	—	—	—	$486 – $486
15	Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$486	$486	—	—	—	$486 – $486
16	UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$486	$486	—	—	—	$486 – $486
17	Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$495	$495	—	—	—	$495 – $495
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	—	—	—	$1.3k – $1.3k
21	WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
22	Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
23	Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
24	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
25	Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k

Page 1 of 2 · 30 rates

Last updated: Jun 15, 2026

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