CT scan of chest without contrast at Ascension Seton

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 THORAX DX C-

Burnet, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Ascension Seton’s median price of $135 is 58% below the median hospital's median price ($323), higher than 19% of the 2,634 hospitals reporting CPT 71250. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 71250 at Ascension Seton

Negotiated rates from the hospital’s own file: 8 payers, 55 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	Blue Cross Blue Shield 4224_chirp blue cross star (shl) outpatient 20241201 fee schedule · both	$72.22	$72.22	$72.22 – $72.22
2	UnitedHealthcare 4258_chirp uhc star (shl) outpatient 20241201 fee schedule · both	$72.22	$72.22	$72.22 – $72.22
3	UnitedHealthcare 4269_chirp uhc star plus (shl) outpatient 20241201 fee schedule · both	$72.22	$72.22	$72.22 – $72.22
4	UnitedHealthcare 4316_uhc star kids (shl) outpatient 20241201 fee schedule · both	$72.22	$72.22	$72.22 – $72.22
5	Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient	$106.88	$106.88	$106.88 – $106.88
6	Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient	$106.88	$106.88	$106.88 – $106.88
7	Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$106.88	$106.88	$106.88 – $106.88
8	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$106.88	$106.88	$106.88 – $106.88
9	Superior Healthplan 4246_chirp superior star (shl) outpatient 20241201 fee schedule · outpatient	$106.88	$106.88	$106.88 – $106.88
10	Superior Healthplan 4399_chirp superior star plus (shl) outpatient 20241201 fee schedule · outpatient	$106.88	$106.88	$106.88 – $106.88
11	Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient	$108.68	$108.68	$108.68 – $108.68
12	Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both	$112.49	$112.49	$112.49 – $112.49
13	Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both	$112.49	$112.49	$112.49 – $112.49
14	Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both	$112.49	$112.49	$112.49 – $112.49
15	UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both	$112.49	$112.49	$112.49 – $112.49
16	UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both	$112.49	$112.49	$112.49 – $112.49
17	UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both	$112.49	$112.49	$112.49 – $112.49
18	Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both	$114.46	$114.46	$114.46 – $114.46
19	UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both	$114.46	$114.46	$114.46 – $114.46
20	UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both	$114.46	$114.46	$114.46 – $114.46
21	UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both	$114.46	$114.46	$114.46 – $114.46
22	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$118.80	$118.80	$118.80 – $118.80
23	Blue Cross Blue Shield 4173_blue cross chip (shl) outpatient 20241201 fee schedule · outpatient	$134.67	$134.67	$134.67 – $134.67
24	Blue Cross Blue Shield 4173_blue cross chip/star kids (shl) outpatient 20241201 fee schedule · outpatient	$134.67	$134.67	$134.67 – $134.67
25	Blue Cross Blue Shield 5013_blue cross star kids (shl) outpatient 20241201 fee schedule · outpatient	$134.67	$134.67	$134.67 – $134.67

Page 1 of 3 · 55 rates

Last updated: Jan 1, 2026

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