CT scan of chest without contrast at Childrens Hospital of Los Angeles

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

NM SPECT CT CHEST W/O CONT

Angeles, CA

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Pricing by billing methodology

Price type

How this price compares nationally

Childrens Hospital of Los Angeles’s median price of $333 is 3% above the median hospital's median price ($323), higher than 50% 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 Childrens Hospital of Los Angeles

Negotiated rates from the hospital’s own file: 11 payers, 37 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	Medicaid california childrens services government professional · fee schedule · outpatient	$76.90	$76.90	$76.90 – $76.90
2	Medicaid medi-cal professional · fee schedule · outpatient	$76.90	$76.90	$76.90 – $76.90
3	Molina molina mmc professional · fee schedule · outpatient	$76.90	$76.90	$76.90 – $76.90
4	Medicare medicare facility · fee schedule · outpatient	$132.31	$132.31	$132.31 – $132.31
5	Optum optum health plan facility · fee schedule · outpatient	$133.60	$133.60	$133.60 – $133.60
6	Medicare medicare professional · fee schedule · outpatient	$148.26	$148.26	$148.26 – $148.26
7	Kaiser kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges	$238.89	$238.89	$238.89 – $238.89
8	UnitedHealthcare united healthcare commercial hmo facility · fee schedule · outpatient	$256.33	$256.33	$256.33 – $256.33
9	UnitedHealthcare united healthcare commercial ppo facility · fee schedule · outpatient	$256.33	$256.33	$256.33 – $256.33
10	UnitedHealthcare united healthcare commercial ppo select facility · fee schedule · outpatient	$256.33	$256.33	$256.33 – $256.33
11	Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$266.07	$266.07	$266.07 – $266.07
12	Blue Cross Blue Shield blue shield marketplace facility · other · outpatient	$276.83	$276.83	$276.83 – $276.83
13	Blue Cross Blue Shield blue shield marketplace professional · fee schedule · outpatient	$276.83	$276.83	$276.83 – $276.83
14	Aetna aetna commercial professional · fee schedule · outpatient	$281.96	$281.96	$281.96 – $281.96
15	Blue Cross Blue Shield blue shield commercial facility · other · outpatient	$291.19	$291.19	$291.19 – $291.19
16	Blue Cross Blue Shield blue shield commercial professional · fee schedule · outpatient	$291.19	$291.19	$291.19 – $291.19
17	Kaiser kaiser commercial professional · fee schedule · outpatient	$292.21	$292.21	$292.21 – $292.21
18	Anthem anthem blue cross select professional · fee schedule · outpatient	$299.39	$299.39	$299.39 – $299.39
19	Anthem anthem blue cross commercial professional · fee schedule · outpatient	$305.49	$305.49	$305.49 – $305.49
20	UnitedHealthcare united healthcare commercial hmo professional · fee schedule · outpatient	$310.36	$310.36	$310.36 – $310.36
21	Medicaid california childrens services government facility · other · outpatient	$333.80	$333.80	$333.80 – $333.80
22	Medicaid medi-cal facility · other · outpatient	$333.80	$333.80	$333.80 – $333.80
23	Anthem anthem blue cross marketplace professional · fee schedule · outpatient	$350.65	$350.65	$350.65 – $350.65
24	MultiPlan multiplan commercial professional · fee schedule · outpatient	$358.85	$358.85	$358.85 – $358.85
25	MultiPlan multiplan commercial facility · percent of total billed charges · inpatientfrom % of charges	$358.86	$358.86	$358.86 – $358.86

Page 1 of 2 · 37 rates

Last updated: Apr 10, 2026

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