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
LOW DOSE CT LUNG SURVEILLANCE-TECH
Weston, WI
See all hospitals reporting CPT 71250 →Price type
Marshfield Medical Center - Weston’s median price of $1.4k is 319% above the median hospital's median price ($323), higher than 84% 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: 7 payers, 18 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 | Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges | $784.30 | $784.30 | $784.30 – $784.30 |
| 2 | Sanford Health Plan commercial facility · percent of total billed charges · outpatientfrom % of charges | $784.30 | $784.30 | $784.30 – $784.30 |
| 3 | Molina hmo facility · percent of total billed charges · inpatientfrom % of charges | $1,212 | $1,212 | $1,212 – $1,212 |
| 4 | Molina hmo facility · percent of total billed charges · outpatientfrom % of charges | $1,212 | $1,212 | $1,212 – $1,212 |
| 5 | Medica ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,329 | $1,329 | $1,329 – $1,329 |
| 6 | Cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $1,340 | $1,340 | $1,340 – $1,340 |
| 7 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,340 | $1,340 | $1,340 – $1,340 |
| 8 | MultiPlan ppo network facility · percent of total billed charges · inpatientfrom % of charges | $1,340 | $1,340 | $1,340 – $1,340 |
| 9 | MultiPlan ppo network facility · percent of total billed charges · outpatientfrom % of charges | $1,340 | $1,340 | $1,340 – $1,340 |
| 10 | First Health ppo network facility · percent of total billed charges · inpatientfrom % of charges | $1,355 | $1,355 | $1,355 – $1,355 |
| 11 | First Health ppo network facility · percent of total billed charges · outpatientfrom % of charges | $1,355 | $1,355 | $1,355 – $1,355 |
| 12 | MultiPlan workers comp facility · percent of total billed charges · inpatientfrom % of charges | $1,355 | $1,355 | $1,355 – $1,355 |
| 13 | MultiPlan workers comp facility · percent of total billed charges · outpatientfrom % of charges | $1,355 | $1,355 | $1,355 – $1,355 |
| 14 | Medica medica care system facility · percent of total billed charges · inpatientfrom % of charges | $1,358 | $1,358 | $1,358 – $1,358 |
| 15 | Medica medica care system facility · percent of total billed charges · outpatientfrom % of charges | $1,358 | $1,358 | $1,358 – $1,358 |
| 16 | Anthem hmo/pos facility · per diem · outpatient | $1,592 | $1,592 | $1,592 – $1,592 |
| 17 | Anthem ppo facility · per diem · outpatient | $1,740 | $1,740 | $1,740 – $1,740 |
| 18 | Anthem traditional facility · per diem · outpatient | $1,820 | $1,820 | $1,820 – $1,820 |
Last updated: Feb 20, 2026
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