CT scan of chest without contrast at Deaconess Health System Gibson General 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

CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST

Princeton, IN

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How this price compares nationally

Deaconess Health System Gibson General Hospital’s median price of $218 is 32% below the median hospital's median price ($323), higher than 39% 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 Deaconess Health System Gibson General Hospital

Negotiated rates from the hospital’s own file: 9 payers, 49 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 Il managed medicaid facility · other · inpatient	$34.28	$34.28	$34.28 – $34.28
2	Bcbs Il managed medicaid facility · other · outpatient	$34.28	$34.28	$34.28 – $34.28
3	Bcbs Il managed medicaid professional · fee schedule · both	$45.37	$45.37	$45.37 – $45.37
4	WellCare managed medicaid professional · fee schedule · both	$45.37	$45.37	$45.37 – $45.37
5	Aetna medicare advantage professional · fee schedule · both	$47.35	$54.34	$47.35 – $75.31
6	Ambetter commercial professional · fee schedule · both	$47.35	$54.34	$47.35 – $75.31
7	Anthem medicare advantage professional · fee schedule · both	$47.35	$54.34	$47.35 – $75.31
8	Bcbs Il medicare advantage professional · fee schedule · both	$47.35	$54.34	$47.35 – $75.31
9	UnitedHealthcare medicare advantage professional · fee schedule · both	$47.35	$54.34	$47.35 – $75.31
10	WellCare dual medicare/medicaid professional · fee schedule · both	$47.35	$54.34	$47.35 – $75.31
11	WellCare medicare advantage professional · fee schedule · both	$47.35	$54.34	$47.35 – $75.31
12	Anthem managed medicaid professional · fee schedule · both	$47.79	$55.21	$47.79 – $77.45
13	Caresource managed medicaid professional · fee schedule · both	$47.79	$55.21	$47.79 – $77.45
14	UnitedHealthcare managed medicaid professional · fee schedule · both	$47.79	$55.21	$47.79 – $77.45
15	Caresource commercial professional · fee schedule · both	$61.56	$62.49	$47.35 – $97.90
16	UnitedHealthcare commercial professional · fee schedule · both	$56.75	$65.59	$56.75 – $92.11
17	Anthem commercial professional · fee schedule · both	$75.20	$83.69	$47.35 – $167.86
18	Aetna commercial professional · fee schedule · both	$167.25	$193.20	$167.25 – $271.05
19	Cigna commercial professional · fee schedule · both	$167.25	$193.20	$167.25 – $271.05
20	First Health commercial professional · fee schedule · both	$167.25	$193.20	$167.25 – $271.05
21	UnitedHealthcare managed medicaid facility · other · inpatient	$223.52	$223.52	$223.52 – $223.52
22	UnitedHealthcare managed medicaid facility · other · outpatient	$223.52	$223.52	$223.52 – $223.52
23	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$368.00	$368.00	$368.00 – $368.00
24	Anthem managed medicaid facility · other · inpatient	$381.26	$381.26	$381.26 – $381.26
25	Anthem managed medicaid facility · other · outpatient	$381.26	$381.26	$381.26 – $381.26

Page 1 of 2 · 49 rates

Last updated: Feb 11, 2026

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