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
CT Thorax Dgnstic w/o Cntrst
Great Barrington, MA
See all hospitals reporting CPT 71250 →Price type
Fairview Hospital’s median price of $921 is 185% above the median hospital's median price ($323), higher than 74% 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 | Medicaid mcd masshealth professional · fee schedule · outpatient | $107.66 | $107.66 | $107.66 – $107.66 |
| 2 | Medicaid mcdmanaged medicaid acos professional · fee schedule · outpatient | $107.66 | $107.66 | $107.66 – $107.66 |
| 3 | Aetna comm aetna professional · fee schedule · outpatient | $135.46 | $135.46 | $135.46 – $135.46 |
| 4 | Medicare mcr traditional medicare professional · fee schedule · outpatient | $135.53 | $135.53 | $135.53 – $135.53 |
| 5 | Medicare mcrmanaged medicare hmo professional · fee schedule · outpatient | $135.53 | $135.53 | $135.53 – $135.53 |
| 6 | UnitedHealthcare mcrmanaged united vaccn professional · fee schedule · outpatient | $137.73 | $137.73 | $137.73 – $137.73 |
| 7 | Blue Cross Blue Shield mcrmanaged blue cross vt medicare hmo professional · fee schedule · outpatient | $155.86 | $155.86 | $155.86 – $155.86 |
| 8 | Medicaid mcd masshealth facility · fee schedule · outpatient | $181.27 | $181.27 | $181.27 – $181.27 |
| 9 | Medicaid mcdmanaged medicaid acos facility · fee schedule · outpatient | $181.27 | $181.27 | $181.27 – $181.27 |
| 10 | Blue Cross Blue Shield mcrmanaged blue cross vt medicare hmo facility · fee schedule · outpatient | $558.10 | $558.10 | $518.35 – $597.85 |
| 11 | Medicare mcr traditional medicare facility · fee schedule · outpatient | $558.10 | $558.10 | $518.35 – $597.85 |
| 12 | Medicare mcrmanaged medicare hmo facility · fee schedule · outpatient | $558.10 | $558.10 | $518.35 – $597.85 |
| 13 | UnitedHealthcare mcrmanaged united vaccn facility · fee schedule · outpatient | $567.18 | $567.18 | $526.78 – $607.57 |
| 14 | Blue Cross Blue Shield comm blue cross ma hmo facility · percent of total billed charges · outpatientfrom % of charges | $883.73 | $883.73 | $820.79 – $946.66 |
| 15 | Blue Cross Blue Shield comm blue cross ma indem facility · percent of total billed charges · outpatientfrom % of charges | $986.28 | $986.28 | $916.03 – $1,057 |
| 16 | Blue Cross Blue Shield comm blue cross ma ppo facility · percent of total billed charges · outpatientfrom % of charges | $991.49 | $991.49 | $920.88 – $1,062 |
| 17 | UnitedHealthcare comm united bh facility · percent of total billed charges · outpatientfrom % of charges | $996.40 | $996.40 | $925.43 – $1,067 |
| 18 | UnitedHealthcare comm united bh professional · fee schedule · outpatient | $996.40 | $996.40 | $925.43 – $1,067 |
| 19 | UnitedHealthcare comm united bh facility · percent of total billed charges · inpatientfrom % of charges | $1,067 | $1,067 | $1,067 – $1,067 |
| 20 | Blue Cross Blue Shield comm blue cross vt ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,104 | $1,104 | $1,025 – $1,182 |
| 21 | Aetna comm aetna facility · other · outpatient | $1,134 | $1,134 | $1,054 – $1,215 |
| 22 | Blue Cross Blue Shield comm blue cross vt ppo facility · percent of total billed charges · inpatientfrom % of charges | $1,182 | $1,182 | $1,182 – $1,182 |
| 23 | Aetna comm aetna facility · percent of total billed charges · inpatientfrom % of charges | $1,215 | $1,215 | $1,215 – $1,215 |
| 24 | Blue Cross Blue Shield comm blue cross vt ppo professional · fee schedule · outpatient | $1,303 | $1,303 | $1,210 – $1,396 |
| 25 | UnitedHealthcare comm unitedhealthcare facility · percent of total billed charges · outpatientfrom % of charges | $1,318 | $1,318 | $1,224 – $1,412 |
Last updated: Oct 7, 2026
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