CT scan of chest without contrast at Little Company of Mary Hospital of Indiana 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

CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST

Jasper, IN

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How this price compares nationally

Little Company of Mary Hospital of Indiana Inc’s median price of $125 is 61% below the median hospital's median price ($323), higher than 15% of the 2,634 hospitals reporting CPT 71250. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 71250 at Little Company of Mary Hospital of Indiana Inc

Negotiated rates from the hospital’s own file: 8 payers, 21 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	Tricare government facility · case rate · outpatient	$94.69	$94.69	$94.69 – $94.69
2	Aetna medicare advantage professional · fee schedule · both	$122.66	$97.56	$47.35 – $122.66
3	Anthem medicare advantage professional · fee schedule · both	$122.66	$97.56	$47.35 – $122.66
4	Caresource medicare advantage professional · fee schedule · both	$122.66	$97.56	$47.35 – $122.66
5	Humana medicare advantage professional · fee schedule · both	$122.66	$97.56	$47.35 – $122.66
6	Tricare government professional · fee schedule · both	$122.66	$97.56	$47.35 – $122.66
7	Anthem managed medicaid facility · fee schedule · outpatient	$97.76	$97.76	$97.76 – $97.76
8	Anthem managed medicaid professional · fee schedule · both	$116.46	$101.37	$37.40 – $135.16
9	Anthem hmo/ppo/traditional facility · fee schedule · outpatient	$102.02	$102.02	$102.02 – $102.02
10	Aetna medicare advantage facility · case rate · outpatient	$111.40	$111.40	$111.40 – $111.40
11	Anthem medicare advantage facility · case rate · outpatient	$111.40	$111.40	$111.40 – $111.40
12	Caresource medicare advantage facility · case rate · outpatient	$111.40	$111.40	$111.40 – $111.40
13	Humana medicare advantage facility · case rate · outpatient	$111.40	$111.40	$111.40 – $111.40
14	UnitedHealthcare commercial professional · fee schedule · both	$148.86	$118.16	$56.75 – $148.86
15	Caresource commercial professional · fee schedule · both	$153.33	$121.95	$59.19 – $153.33
16	Ambetter commercial professional · fee schedule · both	$159.46	$126.83	$61.56 – $159.46
17	Caresource commercial facility · case rate · outpatient	$139.25	$139.25	$139.25 – $139.25
18	Ambetter commercial facility · case rate · outpatient	$144.82	$144.82	$144.82 – $144.82
19	Anthem hmo/ppo/traditional professional · fee schedule · both	$243.06	$187.11	$75.20 – $243.06
20	Aetna commercial professional · fee schedule · both	$438.31	$347.96	$167.25 – $438.31
21	Cigna commercial professional · fee schedule · both	$438.31	$347.96	$167.25 – $438.31

Last updated: Feb 13, 2026

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