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
Ct thorax dx c-
Lebanon, NH
See all hospitals reporting CPT 71250 →Price type
Mary Hitchcock Memorial Hospital’s median price of $213 is 34% below the median hospital's median price ($323), higher than 38% 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: 10 payers, 102 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 | Amerihealth Caritas amerihealth caritas - nh managed medicaid - dhp professional · fee schedule · outpatient | $47.12 | $47.12 | $14.28 – $79.96 |
| 2 | Anthem anthem - medicare advantage - dhp professional · fee schedule · outpatient | $52.56 | $52.56 | $49.43 – $55.68 |
| 3 | Bcbs Vt bcbs of vermont - medicare advantage - dhp professional · fee schedule · outpatient | $52.56 | $52.56 | $49.43 – $55.68 |
| 4 | UnitedHealthcare uhc - medicare advantage - dhp professional · fee schedule · outpatient | $52.56 | $52.56 | $49.43 – $55.68 |
| 5 | UnitedHealthcare uhc - va community care network - dhpn professional · fee schedule · outpatient | $52.56 | $52.56 | $49.43 – $55.68 |
| 6 | Aetna aetna medicare advantage - dhp professional · fee schedule · outpatient | $54.13 | $54.13 | $50.91 – $57.35 |
| 7 | Cigna cigna medicare advantage - dhp professional · fee schedule · outpatient | $54.13 | $54.13 | $50.91 – $57.35 |
| 8 | WellCare wellcare - medicare advantage - dhp professional · fee schedule · outpatient | $54.65 | $54.65 | $51.40 – $57.90 |
| 9 | Ambetter ambetter commercial - exchange behavioral health - dhp professional · fee schedule · outpatient | $55.18 | $55.18 | $51.90 – $58.46 |
| 10 | UnitedHealthcare uhc - tiered freedom plan professional · fee schedule · outpatient | $89.35 | $89.35 | $64.60 – $114.10 |
| 11 | UnitedHealthcare uhc - freedom plan - dhp professional · fee schedule · outpatient | $99.28 | $99.28 | $71.77 – $126.78 |
| 12 | Ambetter ambetter commercial - exchange - dhpn professional · fee schedule · outpatient | $109.09 | $109.09 | $55.68 – $162.50 |
| 13 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · percent of total billed charges · outpatientfrom % of charges | $109.11 | $109.11 | $109.11 – $109.11 |
| 14 | Anthem anthem - medicare advantage facility · case rate · outpatient | $119.00 | $119.00 | $119.00 – $119.00 |
| 15 | Bcbs Vt bcbs of vermont - medicare advantage facility · case rate · outpatient | $119.00 | $119.00 | $119.00 – $119.00 |
| 16 | UnitedHealthcare uhc - medicare advantage facility · case rate · outpatient | $119.00 | $119.00 | $119.00 – $119.00 |
| 17 | UnitedHealthcare uhc - va community care network facility · case rate · outpatient | $119.00 | $119.00 | $119.00 – $119.00 |
| 18 | Aetna aetna medicare advantage facility · case rate · outpatient | $122.57 | $122.57 | $122.57 – $122.57 |
| 19 | Cigna cigna medicare advantage facility · case rate · outpatient | $122.57 | $122.57 | $122.57 – $122.57 |
| 20 | WellCare wellcare - medicare advantage facility · case rate · outpatient | $123.76 | $123.76 | $123.76 – $123.76 |
| 21 | UnitedHealthcare uhc - va community care network - dhps professional · fee schedule · outpatient | $134.01 | $134.01 | $134.01 – $134.01 |
| 22 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · fee schedule · outpatient | $151.05 | $151.05 | $151.05 – $151.05 |
| 23 | Ambetter ambetter commercial - exchange - dhps professional · fee schedule · outpatient | $158.93 | $158.93 | $117.24 – $200.62 |
| 24 | Ambetter ambetter commercial - exchange behavioral health facility · case rate · outpatient | $164.11 | $164.11 | $164.11 – $164.11 |
| 25 | Amerihealth Caritas amerihealth caritas - nh managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $172.10 | $172.10 | $31.61 – $312.59 |
Last updated: Jan 1, 2026
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.