CT chest scan with contrast dye at Forsyth Memorial Hospital, Inc.

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

CT DX CHEST W CONTRAST

Winston-Salem, NC

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Pricing by billing methodology

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How this price compares nationally

Forsyth Memorial Hospital, Inc.’s median price of $401 is 12% below the median hospital's median price ($454), higher than 45% of the 2,627 hospitals reporting CPT 71260. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 71260 at Forsyth Memorial Hospital, Inc.

Negotiated rates from the hospital’s own file: 11 payers, 29 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	Blue Cross Blue Shield blue medicare fee schedule · outpatient	$170.11	$170.11	$170.11 – $170.11
2	Humana medicare fee schedule · outpatient	$170.11	$170.11	$170.11 – $170.11
3	UnitedHealthcare medicare fee schedule · outpatient	$170.11	$170.11	$170.11 – $170.11
4	Aetna medicare fee schedule · outpatient	$174.36	$174.36	$174.36 – $174.36
5	Cigna healthspring fee schedule · outpatient	$175.21	$175.21	$175.21 – $175.21
6	Blue Cross Blue Shield healthy blue medicaid fee schedule · outpatient	$400.58	$400.58	$400.58 – $400.58
7	UnitedHealthcare medicaid fee schedule · outpatient	$400.58	$400.58	$400.58 – $400.58
8	WellCare medicaid fee schedule · outpatient	$400.58	$400.58	$400.58 – $400.58
9	Cigna aca fee schedule · outpatient	$818.50	$818.50	$818.50 – $818.50
10	Caresource qualified health plan fee schedule · outpatient	$846.00	$846.00	$846.00 – $846.00
11	Blue Cross Blue Shield blue home fee schedule · outpatient	$1,104	$1,104	$1,104 – $1,104
12	Blue Cross Blue Shield blue value fee schedule · outpatient	$1,142	$1,142	$1,142 – $1,142
13	Cigna commercial fee schedule · outpatient	$1,256	$1,256	$1,256 – $1,256
14	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$1,260	$1,260	$1,260 – $1,260
15	Aetna commercial fee schedule · outpatient	$1,303	$1,303	$1,303 – $1,303
16	UnitedHealthcare all payer fee schedule · outpatient	$1,423	$1,423	$1,423 – $1,423
17	Blue Cross Blue Shield hmo fee schedule · outpatient	$1,453	$1,453	$1,453 – $1,453
18	Blue Cross Blue Shield ppo fee schedule · outpatient	$1,453	$1,453	$1,453 – $1,453
19	Humana commercial fee schedule · outpatient	$1,648	$1,648	$1,648 – $1,648
20	Aetna aca fee schedule · outpatient	$1,692	$1,692	$1,692 – $1,692
21	Aetna first health fee schedule · outpatient	$1,692	$1,692	$1,692 – $1,692
22	Aetna non-par products of apcn fee schedule · outpatient	$1,692	$1,692	$1,692 – $1,692
23	Aetna rental network products fee schedule · outpatient	$1,692	$1,692	$1,692 – $1,692
24	Aetna whole health non-multitier fee schedule · outpatient	$1,692	$1,692	$1,692 – $1,692
25	Medcost mbs fee schedule · outpatient	$1,798	$1,798	$1,798 – $1,798

Page 1 of 2 · 29 rates

Last updated: Mar 30, 2026

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