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 CTA PULMONARY W/WO CONTRAST
LAFAYETTE, CO
See all hospitals reporting CPT 71275 →Price type
Good Samaritan Medical Center, Llc Dba’s median price of $1.5k is 192% above the median hospital's median price ($518), higher than 79% of the 2,627 hospitals reporting CPT 71275. 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, 90 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 | UnitedHealthcare uhc mrp php prime facility · case rate · outpatient | $177.11 | $177.11 | $177.11 – $177.11 |
| 2 | UnitedHealthcare uhc rmhp mrp dualcare facility · case rate · outpatient | $177.11 | $177.11 | $177.11 – $177.11 |
| 3 | UnitedHealthcare united healthcare mrp facility · case rate · outpatient | $177.11 | $177.11 | $177.11 – $177.11 |
| 4 | UnitedHealthcare united healthcare optum mrp facility · case rate · outpatient | $177.11 | $177.11 | $177.11 – $177.11 |
| 5 | Kaiser kaiser snp facility · case rate · outpatient | $178.90 | $178.90 | $178.90 – $178.90 |
| 6 | Aetna aetna colorado preferred facility · fee schedule · outpatient | $692.12 | $692.12 | $692.12 – $692.12 |
| 7 | Kaiser kp select hmo facility · percent of total billed charges · outpatientfrom % of charges | $701.28 | $701.28 | $701.28 – $701.28 |
| 8 | Aetna aetna hmo/epo facility · fee schedule · outpatient | $753.77 | $753.77 | $753.77 – $753.77 |
| 9 | Aetna aetna indemnity facility · fee schedule · outpatient | $753.77 | $753.77 | $753.77 – $753.77 |
| 10 | Aetna aetna other facility · fee schedule · outpatient | $753.77 | $753.77 | $753.77 – $753.77 |
| 11 | Aetna aetna pos/qpos facility · fee schedule · outpatient | $753.77 | $753.77 | $753.77 – $753.77 |
| 12 | Aetna aetna ppo facility · fee schedule · outpatient | $753.77 | $753.77 | $753.77 – $753.77 |
| 13 | Aetna aetna src facility · fee schedule · outpatient | $753.77 | $753.77 | $753.77 – $753.77 |
| 14 | Kaiser kaiser hmo exchange plan facility · percent of total billed charges · outpatientfrom % of charges | $871.86 | $871.86 | $871.86 – $871.86 |
| 15 | Kaiser kaiser out of state facility · percent of total billed charges · outpatientfrom % of charges | $871.86 | $871.86 | $871.86 – $871.86 |
| 16 | Kaiser kaiser permanente hmo facility · percent of total billed charges · outpatientfrom % of charges | $871.86 | $871.86 | $871.86 – $871.86 |
| 17 | Kaiser kaiser self funded facility · percent of total billed charges · outpatientfrom % of charges | $871.86 | $871.86 | $871.86 – $871.86 |
| 18 | Kaiser kaiser perm ppo/pos facility · percent of total billed charges · outpatientfrom % of charges | $884.75 | $884.75 | $884.75 – $884.75 |
| 19 | Anthem bcbs co federal facility · fee schedule · outpatient | $886.00 | $886.00 | $886.00 – $886.00 |
| 20 | Anthem bcbs co hmo facility · fee schedule · outpatient | $886.00 | $886.00 | $886.00 – $886.00 |
| 21 | Anthem bcbs co ppo facility · fee schedule · outpatient | $886.00 | $886.00 | $886.00 – $886.00 |
| 22 | Cigna cigna sclhs cdhp facility · percent of total billed charges · outpatientfrom % of charges | $947.68 | $947.68 | $947.68 – $947.68 |
| 23 | Cigna cigna co public option facility · percent of total billed charges · outpatientfrom % of charges | $964.73 | $964.73 | $964.73 – $964.73 |
| 24 | Cigna cigna connect exchange facility · percent of total billed charges · outpatientfrom % of charges | $964.73 | $964.73 | $964.73 – $964.73 |
| 25 | Cigna cigna surefit facility · percent of total billed charges · outpatientfrom % of charges | $964.73 | $964.73 | $964.73 – $964.73 |
Last updated: Mar 22, 2026
See CT angiography of the chest pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.