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, DX, W/O CONTRAST
Milwaukee, WI
See all hospitals reporting CPT 71250 →Price type
Froedtert Memorial Lutheran Hospital Inc’s median price of $1.0k is 210% above the median hospital's median price ($323), higher than 76% 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, 34 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Anthem managed medicaid other · inpatient | $55.12 | $55.12 | $55.12 – $55.12 |
| 2 | Anthem managed medicaid other · outpatient | $55.12 | $55.12 | $55.12 – $55.12 |
| 3 | UnitedHealthcare managed medicaid other · inpatient | $55.12 | $55.12 | $55.12 – $55.12 |
| 4 | UnitedHealthcare managed medicaid other · outpatient | $55.12 | $55.12 | $55.12 – $55.12 |
| 5 | Molina managed medicaid other · inpatient | $63.46 | $63.46 | $63.46 – $63.46 |
| 6 | Molina managed medicaid other · outpatient | $63.46 | $63.46 | $63.46 – $63.46 |
| 7 | Anthem medicare advantage case rate · outpatient | $108.06 | $108.06 | $108.06 – $108.06 |
| 8 | Anthem medicare advantage other · inpatient | $108.06 | $108.06 | $108.06 – $108.06 |
| 9 | Humana medicare advantage case rate · outpatient | $108.06 | $108.06 | $108.06 – $108.06 |
| 10 | Humana medicare advantage other · inpatient | $108.06 | $108.06 | $108.06 – $108.06 |
| 11 | Molina medicare advantage case rate · outpatient | $108.06 | $108.06 | $108.06 – $108.06 |
| 12 | UnitedHealthcare medicare advantage/dual case rate · outpatient | $108.06 | $108.06 | $108.06 – $108.06 |
| 13 | UnitedHealthcare medicare advantage/dual other · inpatient | $108.06 | $108.06 | $108.06 – $108.06 |
| 14 | Aetna medicare advantage case rate · outpatient | $110.22 | $110.22 | $110.22 – $110.22 |
| 15 | Aetna medicare advantage other · inpatient | $110.22 | $110.22 | $110.22 – $110.22 |
| 16 | WellCare medicare advantage case rate · outpatient | $110.22 | $110.22 | $110.22 – $110.22 |
| 17 | UnitedHealthcare nexus other · inpatient | $966.00 | $966.00 | $966.00 – $966.00 |
| 18 | UnitedHealthcare options ppo other · inpatient | $1,084 | $1,084 | $1,084 – $1,084 |
| 19 | UnitedHealthcare nexus fee schedule · outpatient | $1,112 | $1,112 | $1,112 – $1,112 |
| 20 | UnitedHealthcare choice plus/navigate other · inpatient | $1,133 | $1,133 | $1,133 – $1,133 |
| 21 | UnitedHealthcare choice plus/navigate fee schedule · outpatient | $1,351 | $1,351 | $1,351 – $1,351 |
| 22 | Anthem blue preferred/pos other · inpatient | $1,383 | $1,383 | $1,383 – $1,383 |
| 23 | Anthem blue preferred/pos fee schedule · outpatient | $1,466 | $1,466 | $1,466 – $1,466 |
| 24 | UnitedHealthcare options ppo fee schedule · outpatient | $1,621 | $1,621 | $1,621 – $1,621 |
| 25 | Aetna all contracted commercial plans percent of total billed charges · inpatientfrom % of charges | $1,977 | $1,977 | $1,846 – $2,109 |
Last updated: Dec 31, 2025
See CT scan of chest without contrast pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.