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.
Original text from hospital filings
DIAGNOSTIC CT THORAX W/O CONTRAST (TC)
201 9th St W Ada, MN
See all hospitals reporting CPT 71250 →Price type
Essentia Health Ada’s median price of $1.2k is 269% above the median hospital's median price ($323), higher than 81% of the 2,634 hospitals reporting CPT 71250. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 39 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 | Healthpartners medicaid facility · percent of total billed charges · inpatientfrom % of charges | $704.87 | $704.87 | $704.87 – $704.87 |
| 2 | Healthpartners medicaid facility · percent of total billed charges · outpatientfrom % of charges | $704.87 | $704.87 | $704.87 – $704.87 |
| 3 | Medica medicaid facility · percent of total billed charges · outpatientfrom % of charges | $721.18 | $721.18 | $721.18 – $721.18 |
| 4 | Sanford Health Plan commercial-ndpers facility · percent of total billed charges · inpatientfrom % of charges | $777.17 | $777.17 | $777.17 – $777.17 |
| 5 | Sanford Health Plan commercial-ndpers facility · percent of total billed charges · outpatientfrom % of charges | $777.17 | $777.17 | $777.17 – $777.17 |
| 6 | Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges | $818.12 | $818.12 | $818.12 – $818.12 |
| 7 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $818.12 | $818.12 | $818.12 – $818.12 |
| 8 | Blue Cross Blue Shield medicare facility · percent of total billed charges · outpatientfrom % of charges | $869.76 | $869.76 | $869.76 – $869.76 |
| 9 | Healthpartners medicare facility · percent of total billed charges · outpatientfrom % of charges | $869.76 | $869.76 | $869.76 – $869.76 |
| 10 | Medica medicare facility · percent of total billed charges · outpatientfrom % of charges | $869.76 | $869.76 | $869.76 – $869.76 |
| 11 | Ucare medicare facility · percent of total billed charges · outpatientfrom % of charges | $869.76 | $869.76 | $869.76 – $869.76 |
| 12 | UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges | $869.76 | $869.76 | $869.76 – $869.76 |
| 13 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges | $996.60 | $996.60 | $996.60 – $996.60 |
| 14 | Healthpartners shp facility · percent of total billed charges · inpatientfrom % of charges | $1,102 | $1,102 | $1,102 – $1,102 |
| 15 | Healthpartners shp facility · percent of total billed charges · outpatientfrom % of charges | $1,102 | $1,102 | $1,102 – $1,102 |
| 16 | Medica medicaid facility · percent of total billed charges · inpatientfrom % of charges | $1,129 | $1,129 | $1,129 – $1,129 |
| 17 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,192 | $1,192 | $1,192 – $1,192 |
| 18 | Ucare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,192 | $1,192 | $1,192 – $1,192 |
| 19 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,205 | $1,205 | $1,205 – $1,205 |
| 20 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,205 | $1,205 | $1,205 – $1,205 |
| 21 | Healthpartners commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,205 | $1,205 | $1,205 – $1,205 |
| 22 | Healthpartners commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,205 | $1,205 | $1,205 – $1,205 |
| 23 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges | $1,268 | $1,268 | $1,268 – $1,268 |
| 24 | Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,268 | $1,268 | $1,268 – $1,268 |
| 25 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,274 | $1,274 | $969.42 – $1,579 |
Last updated: Jan 1, 2026
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