Seattle Children's Hospital

SeattleKing CountyChildrens

Pelvis blood vessel CT scan (CTA)

Quality: not rated by CMSEarliest available date: call (206) 987-2000

What you may pay

With insurance from an employer or private plan: $2,404 to $4,274Depends on your plan. Each plan’s price at this hospital:
ASURIS [11913]: Regence Exchange $2,404 Higher than typical
BRIDGESPAN HEALTH COMPANY [11906]: Regence Exchange $2,404 Higher than typical
PACIFICSOURCE [12245]: First Health PPO $4,274 Higher than typical
RURAL CARRIER BENEFIT PLAN [12271]: First Health PPO $4,274 Higher than typical
The 2 lowest and 2 highest of 98 plans. Find yours in the table below.Typical at 39 hospitals we cover: $516 to $979 (each hospital’s middle plan price, hospital’s fee). Don’t see your plan? Ask your insurer for its rate here.
Paying yourself (cash price): $4,452 Higher than typicalTypical hospital’s fee at 40 hospitals we cover: $1,329 to $2,439.

These are prices the hospital published, not a quote. With insurance you usually pay part of the rate (your deductible and coinsurance); the estimator on the procedure page works it out. A higher price does not mean better care.

Doctors usually bill separately. At most hospitals these are the hospital’s own charges. The surgeon, radiologist, anesthesiologist or pathologist usually sends a separate bill: ask each of them for an estimate too.

Source: Seattle Children's Hospital’s own price file. CareNavIQ last refreshed prices on 2026-11-05.

Next step: ask the hospital for a Good Faith Estimate for this procedure (phone number above).

Bills to expect

A procedure usually brings several bills, each from whoever did that part of your care. Here is what to expect, with what Traditional Medicare allows for each doctor’s part in this area (King County) and an estimate for private plans.

Separate bills for this procedure and their estimated amounts
Bill	Who sends it	How likely	Status	Traditional Medicare allows	Private plans (estimate)
Hospital's feeThe scan: equipment, technologist and contrast dye	The hospital	Expected	Published by the hospital: the prices above	—	—
RadiologistReading the scan and writing the report	The radiology group	Expected	Billed separately; amount estimated	$89	$105 to $160
Ordering doctor's visitThe visit where the CT scan is ordered or the results are explained	Your doctor	Possible	Billed separately; not priced	—	—

What you’d pay for these bills

Adds up your share of the hospital’s bill and the expected doctors’ bills above (not the possible ones). What you type stays in your browser.

Your coverage Insurance from an employer or a private plan Traditional Medicare Medicare Advantage Apple Health (Medicaid)

Your plan’s price at this hospitalDeductible you still have to pay this yearYour coinsurance after the deductibleOut-of-pocket maximum you have left this year (optional)

Your plan’s summary of benefits says how it charges for each kind of care. Leave these as they are if it uses the deductible and coinsurance.

The hospital's billHow your plan charges

The bill from the doctor doing the procedureHow your plan charges

You pay about $502 to $513 of about $2,509 to $2,564 billed to your plan.

Your share of the hospital's bill is about $481; the rest is your share of the doctors' bills. The doctors' bills are estimates. Enter your out-of-pocket maximum to see whether you'd reach it. Assumes everyone is in your network.

How each bill comes to you

Each provider sends a claim to your plan. It applies its allowed amount, then your deductible, copay and coinsurance, and sends you an Explanation of Benefits. Then the provider bills you the “You owe” line. Bills are in the order your plan is assumed to process them, the hospital first. The doctors' bills are estimates.

Show the bills at the lower estimate the higher estimate

Hospital's feeSent by the hospital
The provider's charge
$4,452
Insurance adjustmentWritten off by the provider: you don't owe it.
−$2,048
Allowed amountWhat the insurer counts for this bill.
$2,404
Your plan pays
$1,923
Your coinsurance
$481
You oweThe provider bills you this after the insurer pays.
$481
RadiologistSent by the radiology group
The provider's chargeDoctors don't publish their charges; in network it doesn't change what you owe.
Not published
Allowed amountWhat the insurer counts for this bill.
$105
Your plan pays
$84.32
Your coinsurance
$21.08
You oweThe provider bills you this after the insurer pays.
$21.08

All bills: allowed amounts: $2,509
Your plan pays: $2,007
You owe in all: $502

Who owes what, and when you might owe more

The insurance adjustment Written off
An in-network provider agrees to accept your plan's allowed amount. The difference between its charge and that amount is written off: you don't owe it, and it shouldn't appear on your bill.
Deductible You pay
What you pay each year before your plan starts sharing costs. It is applied to bills in the order your plan processes them, so the first bill can take all of it.
Copay You pay
A fixed amount for a kind of care, such as a hospital stay or a surgeon's visit. Your plan's summary of benefits says whether it applies before or after the deductible, and whether a stay's copay is per day.
Coinsurance You pay
Your percentage of the allowed amount after the deductible, such as 20%.
Out-of-pocket maximum Your plan pays
Once your deductible, copays and coinsurance for the year reach it, your plan pays 100% of covered in-network care for the rest of the plan year.
Each provider bills separately You pay
The hospital, surgeon, anesthesia group, radiologist and pathologist each send their own claim and their own bill. All of them count toward the same deductible and yearly maximum.
Out of network and surprise bills It depends
A provider outside your plan's network can bill you the difference between its charge and what your plan pays (a balance bill). It can't for emergency care, or when anesthesia, radiology, pathology, an assistant surgeon or a hospital doctor treats you at an in-network hospital: under federal law (the No Surprises Act) and, for Washington-regulated plans and self-funded plans that opt in, RCW 48.49, those groups cannot balance bill you. Your deductible and coinsurance still apply, at in-network amounts.
Not covered, or no prior authorization It depends
If your plan decides a service isn't covered, or it needed prior authorization that wasn't approved, the plan pays nothing for it and the provider may bill you. Ask the provider to get prior authorization before your care. If an in-network provider didn't get it, the provider's contract may stop it billing you: ask your plan before you pay.
A second insurance It depends
If you have a second plan, the first plan pays first and the second may then pay some or all of your share. These estimates use one plan only.
Wait for the Explanation of Benefits You pay
After each claim your insurer sends an Explanation of Benefits (EOB) with the allowed amount, what it paid and what you may owe. It is not a bill. Pay a provider's bill only when it matches the EOB's “you may owe” amount, and ask the provider or insurer about any difference.
Help from the hospital It depends
Washington hospitals must give free or discounted care based on income, including deductibles and coinsurance for insured patients: free up to 200% or 300% of the federal poverty level depending on the hospital, with discounts above that (RCW 70.170). You can apply after you get a bill. It covers the hospital's bill; doctor groups that bill separately have their own policies.
If you pay yourself instead You pay
You can choose not to use your insurance and pay the cash price; then nothing counts toward your deductible. Ask each provider for a Good Faith Estimate. If a bill is $400 or more above it, you can dispute it within 120 days.

Get it confirmed before your care

The hospital, each doctor’s group and your insurer can each confirm their part in writing. Here is a request for each one, ready to send from your own email, and what to say if you’d rather call. Nothing you do here is saved.

Coming: CareNavIQ will be able to send these for you, follow up, and tell you when everything is confirmed, with your permission.

How you’ll payWith insurancePaying myself, without insurance

Seattle Children's Hospital

The largest bill.

Request to send

Subject: Estimate request: pelvis blood vessel ct scan (cta) at Seattle Children's Hospital

Hello,

I am planning a pelvis blood vessel ct scan (cta) (billing code CPT 72191) at Seattle Children's Hospital.

Under Washington law (RCW 70.01.030), I am asking for a written estimate of the hospital's charges, with the billing codes you plan to use.

Name: [YOUR NAME]
Date of birth: [DATE OF BIRTH]
Insurance: [PLAN NAME], member ID [MEMBER ID]
Planned date: [DATE, IF KNOWN]

Thank you.

Replace the words in [brackets] with your details before you send it.

Open in my email

If you call. Call (206) 987-2000 and ask for the price estimate or patient financial services line. Say: "I'd like a written estimate for my pelvis blood vessel ct scan (cta)."

I’ve sent this one

0 of 3 sent. Washington law gives you the right to these estimates but sets no deadline: if you haven't heard back in five business days, send it again or call.

How these are worked out. Medicare amounts are CMS’s 2026 physician fee schedule for this area, at the rate for care in a hospital. Private-plan estimates are 118% to 179% of Medicare for doctors (the range across 19 studies in KFF’s review of what private insurers pay) and 3 to 5 times Medicare for anesthesia (a published industry estimate). Anesthesia is paid by the minute, so its range assumes the time shown. Medicare pays an assistant at surgery 13.6% to 16% of the surgeon’s fee. Where we have your insurer’s own published rates for the doctors here (below), the estimator uses those for that insurer’s employer plans instead. Your plan’s own rates may be outside these ranges: ask each office for an estimate, and for its network status. At an in-network hospital, the anesthesia, radiology, pathology and assistant groups can’t charge you more than your in-network cost share, even if they are out of network (No Surprises Act).

119 published prices, grouped by who each price applies to.

Cash price 1 price

The hospital's discounted price for patients paying without insurance.

Cash price prices for Pelvis blood vessel CT scan (CTA) at Seattle Children's Hospital
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$4,452	Hospital’s fee	CT Angio Pelvis	—	Outpatient	—

List price (before discounts) 1 price

The hospital's full chargemaster price. Few patients pay this amount.

List price (before discounts) prices for Pelvis blood vessel CT scan (CTA) at Seattle Children's Hospital
Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
$4,452	Hospital’s fee	CT Angio Pelvis	—	Outpatient	—

Commercial insurance 98 prices

Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Commercial insurance prices for Pelvis blood vessel CT scan (CTA) at Seattle Children's Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
ADMINISTRATORS [13102]	First Choice EHN	$3,561	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
ADMINISTRATORS [13102]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
ADMINISTRATORS [13102]	First Choice PSHVN	$3,339	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
AETNA [11000]	Aetna PPO	$3,739	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
ALLEGIANCE [12264]	Cigna PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
ALLIED [13129]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
ALTIUS HEALTH PLAN [12275]	First Health PPO	$4,274	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
AMERIBEN [11006]	Aetna PPO	$3,739	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
ASSURANT HEALTH FC [13135]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
ASURIS [11900]	Regence PPO	$3,695	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
ASURIS [11913]	Regence Exchange	$2,404	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
BLUECROSS/SHIELD [11902]	Regence PPO	$3,695	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
BRIDGESPAN HEALTH COMPANY [11906]	Regence Exchange	$2,404	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
CARPENTERS TRUST [13100]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
CHPW CASCADE [12228]	CHPW Public Option	$2,448	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
CHRISTIAN BROTHERS [11001]	Aetna PPO	$3,739	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
CIGNA [12204]	Cigna Narrow Network	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
CIGNA [12204]	Cigna PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
CLARITEV [12299]	Multiplan PPO	$4,229	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
COASTAL ADMINISTRATIVE [13140]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
COORDINATED CARE [12267]	Coordinated Care Exchange	$3,339	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
COORDINATED CARE [12267]	Coordinated Care Public Option	$2,448	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
CORESOURCE [11004]	Aetna PPO	$3,739	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
COVENTRY FC [13112]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
COVENTRY MHBP [12272]	First Health PPO	$4,274	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
COVENTRY [12244]	First Health PPO	$4,274	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
EBMS FC [13144]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
EBMS [11003]	Aetna PPO	$3,739	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
EBMS [12241]	Multiplan PPO	$4,229	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
FIRST CHOICE [13399]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
FIRST HEALTH [12210]	First Health PPO	$4,274	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
GUARDIAN FC [13105]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
HCC MEDICAL [12274]	First Health PPO	$4,274	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
HEALTH ALLIANCE [12266]	Multiplan PPO	$4,229	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
HEALTH ALLIANCE [13233]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
HUMANA [12224]	Multiplan PPO	$4,229	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
ILWU-PMA [13158]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
KAISER [13400]	Kaiser Exchange	$2,448	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
KAISER [13400]	Kaiser HMO	$2,894	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
KAISER [13400]	Kaiser PPO	$3,339	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
KAISER [13401]	Kaiser HMO	$2,894	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
KEY BENEFIT ADMIN [12276]	Multiplan PPO	$4,229	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
KPS [13109]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
LEWERMARK [12286]	First Health PPO	$4,274	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
LOOMIS BENEFITS WEST [13161]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
MEDICAL MUTUAL [12233]	Multiplan PPO	$4,229	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
MEDISHARE [12287]	First Health PPO	$4,274	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
MEGA LIFE [13111]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
MERITAIN HEALTH [13229]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
MERITAIN [12251]	Aetna PPO	$3,739	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
MERITAIN [12251]	Multiplan PPO	$4,229	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
MODA FC [13219]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
MODA [11009]	Aetna PPO	$3,739	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
MODA [12842]	Multiplan PPO	$4,229	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
MOLINA MARKETPLACE [12831]	Molina Exchange	$3,339	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
MYERS STEVENS & TOOHEY [13169]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
NIPPON LIFE INSURANCE [12232]	Multiplan PPO	$4,229	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
PACIFIC UNDERWRITERS [13175]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
PACIFICSOURCE [12245]	First Health PPO	$4,274	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
PEHP [12235]	Multiplan PPO	$4,229	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
PERSONIFY CONTRACTED [12205]	6 Degrees Health	$4,007	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
PERSONIFY FC [13155]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
PERSONIFY [12270]	Cigna PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
PREFERRED ONE [11008]	Aetna PPO	$3,739	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
PREFERREDONE ADMIN SERVICES [12236]	Multiplan PPO	$4,229	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera Exchange	$2,404	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera HMO	$3,027	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera Narrow Network	$3,250	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera PPO	$3,695	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
PREMERA [11600]	Premera Public Option	$2,404	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
PRINCIPAL MUTUAL FC [13115]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
PROVIDENCE HEALTH PLAN [12289]	Cigna PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
PROVIDENCE HEALTH PLAN [13181]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
PSEW [13124]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
REGENCE UMP [12263]	Regence UMP	$2,894	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
REGENCE [11903]	Regence Exchange	$2,404	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
REGENCE [11903]	Regence PPO	$3,695	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
REGENCE [11909]	Regence Exchange	$2,404	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
REHN & ASSOCIATES [13182]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
RURAL CARRIER BENEFIT PLAN [12271]	First Health PPO	$4,274	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
SELECT HEALTH [12277]	Multiplan PPO	$4,229	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
SOUND HEALTH AND WELLNESS [13116]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
STARMARK [13103]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
TONGASS TIMBER TRUST [13202]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
TRUSTEED PLANS [13186]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
TRUSTMARK LIFE INSURANCE [13203]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
TUFTS HEALTH PLAN [12279]	Cigna PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
UMR [12246]	United Narrow Network	$3,339	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
UMR [12246]	United PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE [12201]	United Exchange	$3,339	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE [12201]	United HMO	$3,339	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE [12201]	United Narrow Network	$3,339	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE [12201]	United PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
WEB TPA [11007]	Aetna PPO	$3,739	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
WELFARE PENSION [13120]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
WSHIP [13121]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
ZENITH AMERICAN SOLUTIONS [13195]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
ZENITH [13123]	First Choice PPO	$3,784	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—

Medicaid managed care 12 prices

Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Medicaid managed care prices for Pelvis blood vessel CT scan (CTA) at Seattle Children's Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
CHPW [15802]	CHPW Apple Health	$1,155	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
COORDINATED CARE [15815]	Coordinated Care Apple Health	$1,178	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
EYE QUEST [15894]	Amerigroup Apple Health	$1,178	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
ICW UHC [15812]	United Community Apple Health	$1,178	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
ICW WELLPOINT [15822]	Amerigroup Apple Health	$1,178	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
KAISER [15818]	Molina Apple Health	$1,144	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
MOLINA [15809]	Molina Apple Health	$1,144	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
OPTICARE [15895]	Coordinated Care Apple Health	$1,178	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
UBH COMMUNITY & STATE [15819]	United BH Community Apple Health	$1,447	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE COMMUNITY PLAN [15816]	United BH Community Apple Health	$1,447	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
UNITED HEALTHCARE COMMUNITY PLAN [15816]	United Community Apple Health	$1,178	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
WELLPOINT [15814]	Amerigroup Apple Health	$1,178	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—

Medicaid (state program) 1 price

Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Medicaid (state program) prices for Pelvis blood vessel CT scan (CTA) at Seattle Children's Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
MEDICAID WA [14900]	Washington Medicaid	$1,122	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—

Other government program 1 price

TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

Other government program prices for Pelvis blood vessel CT scan (CTA) at Seattle Children's Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
USFHP [12208]	Pac Med	$1,825	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—

Unknown 5 prices

The source file doesn't say which population this rate applies to.

Unknown prices for Pelvis blood vessel CT scan (CTA) at Seattle Children's Hospital
Payer	Plan	Price	Part of the bill	Hospital’s description	How it’s set	Setting	Source date
CHILD HEARING LEAGUE [17301]	Washington Medicaid	$1,122	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
COASTAL ADMIN SVCS CONTRACTED [12222]	6 Degrees Health	$4,007	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
HOSPICE [17306]	Washington Medicaid	$1,122	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
MAPLE LANE SCHOOL [17309]	Washington Medicaid	$1,122	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—
UNITED BEHAVIORAL HEALTH [12234]	United Behavioral Health	$3,918	Hospital’s fee	CT Angio Pelvis	percent of total billed charges	Outpatient	—

Doctors here who do this procedure

We don’t have doctor data for this procedure yet. CMS publishes what doctors bill Traditional Medicare by billing code, and no Washington doctor billed this one often enough for CMS to publish it (11 or more patients a year).

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Seattle Children's Hospital

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1 Hospital's feeSent by the hospital

2 RadiologistSent by the radiology group

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Seattle Children's Hospital

Cash price 1 price

List price (before discounts) 1 price

Commercial insurance 98 prices

Medicaid managed care 12 prices

Medicaid (state program) 1 price

Other government program 1 price

Unknown 5 prices

Doctors here who do this procedure

Hospital's feeSent by the hospital

RadiologistSent by the radiology group