CT lower extremity scan with and 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 LWR EXTREMITY W/O&W/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 $218 is 58% below the median hospital's median price ($515), higher than 17% of the 2,485 hospitals reporting CPT 73702. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 73702 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	$128	$121	$52	43%	—	$53 – $181
2	Medica medicare advantage professional · fee schedule · both	$128	$121	$52	43%	—	$53 – $181
3	UnitedHealthcare medicare advantage professional · fee schedule · both	$128	$121	$52	43%	—	$53 – $181
4	Humana medicare advantage professional · fee schedule · both	$130	$123	$54	43%	—	$54 – $185
5	WellCare medicare advantage/dual needs plan professional · fee schedule · both	$132	$124	$54	43%	—	$55 – $187
6	Aetna medicare advantage professional · fee schedule · both	$134	$127	$55	43%	—	$56 – $190
7	UnitedHealthcare managed medicaid professional · fee schedule · both	$225	$225	$157	70%	—	$68 – $381
8	Molina managed medicaid/chip professional · fee schedule · both	$227	$227	$158	70%	—	$69 – $385
9	Molina dual eligible plan professional · fee schedule · both	$231	$231	$161	70%	—	$70 – $393
10	Medica individual and family business plans professional · fee schedule · both	$246	$232	$101	43%	—	$102 – $348
11	Bcbs Ne commercial professional · case rate · both	$252	$238	$103	43%	—	$105 – $357
12	Medica commercial plans/care system products professional · fee schedule · both	$259	$244	$106	43%	—	$108 – $367
13	MultiPlan primary/complementary ppo professional · fee schedule · both	$413	$390	$169	43%	—	$172 – $585
14	Bcbs Ne medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$594	$594	—	—	1–10	$594 – $594
15	Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$594	$594	—	—	—	$594 – $594
16	UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$594	$594	—	—	1–10	$594 – $594
17	Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$606	$606	—	—	1–10	$606 – $606
18	UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
19	Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
20	Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges	$1.6k	$1.6k	—	—	1–10	$1.6k – $1.6k
21	WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
22	Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges	$2.7k	$2.7k	—	—	—	$2.7k – $2.7k
23	Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges	$2.7k	$2.7k	—	—	—	$2.7k – $2.7k
24	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$2.9k	$2.9k	—	—	1–10	$2.9k – $2.9k
25	Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges	$2.9k	$2.9k	—	—	—	$2.9k – $2.9k

Page 1 of 2 · 30 rates

Last updated: Jun 15, 2026

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