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
HC CT THORAX, DIAGNOSTIC, W/O CONT
Edina, MN
See all hospitals reporting CPT 71250 →Price type
Fairview Health Services’s median price of $150 is 53% below the median hospital's median price ($323), higher than 24% 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: 9 payers, 67 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 | Ucare pmap fee schedule · both | $61.92 | $65.12 | $35.75 – $97.68 |
| 2 | Medica managed medicaid/accessability fee schedule · both | $66.11 | $69.05 | $37.34 – $103.71 |
| 3 | Bcbs Mn pmap fee schedule · both | $70.74 | $73.89 | $39.95 – $110.97 |
| 4 | Sanford Health Plan medicare advantage fee schedule · both | $82.31 | $86.59 | $47.58 – $129.89 |
| 5 | UnitedHealthcare medicare advantage fee schedule · both | $82.31 | $86.59 | $47.58 – $129.89 |
| 6 | WellCare medicare advantage fee schedule · both | $82.31 | $86.59 | $47.58 – $129.89 |
| 7 | Bcbs Mn medicare advantage fee schedule · both | $85.60 | $90.06 | $49.48 – $135.09 |
| 8 | Medica medicare advantage non-snp fee schedule · both | $88.67 | $93.18 | $51.10 – $139.77 |
| 9 | Ucare medicare advantage/msho fee schedule · both | $88.89 | $93.52 | $51.39 – $140.28 |
| 10 | Medica msho/medicare advantage snp fee schedule · both | $90.34 | $94.94 | $52.07 – $142.41 |
| 11 | Ucare pmap other · inpatient | $105.79 | $105.79 | $105.79 – $105.79 |
| 12 | Sanford Health Plan medicare advantage fee schedule · outpatient | $105.85 | $105.85 | $105.85 – $105.85 |
| 13 | UnitedHealthcare medicare advantage fee schedule · outpatient | $105.85 | $105.85 | $105.85 – $105.85 |
| 14 | WellCare medicare advantage fee schedule · outpatient | $105.85 | $105.85 | $105.85 – $105.85 |
| 15 | Medica msho/medicare advantage snp other · inpatient | $106.80 | $106.80 | $106.80 – $106.80 |
| 16 | Ucare medicare advantage/msho fee schedule · outpatient | $107.44 | $107.44 | $107.44 – $107.44 |
| 17 | Medica medicare advantage non-snp other · inpatient | $107.57 | $107.57 | $107.57 – $107.57 |
| 18 | Optum behavioral commercial other · both | $107.57 | $107.57 | $107.57 – $107.57 |
| 19 | Optum behavioral commercial other · inpatient | $107.57 | $107.57 | $107.57 – $107.57 |
| 20 | Optum behavioral commercial other · outpatient | $107.57 | $107.57 | $107.57 – $107.57 |
| 21 | UnitedHealthcare medicare advantage other · inpatient | $107.57 | $107.57 | $107.57 – $107.57 |
| 22 | WellCare medicare advantage other · inpatient | $107.57 | $107.57 | $107.57 – $107.57 |
| 23 | Ucare pmap fee schedule · outpatient | $108.53 | $108.53 | $108.53 – $108.53 |
| 24 | Ucare medicare advantage/msho other · inpatient | $109.18 | $109.18 | $109.18 – $109.18 |
| 25 | Bcbs Mn medicare advantage fee schedule · outpatient | $110.08 | $110.08 | $110.08 – $110.08 |
Last updated: Feb 6, 2026
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