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
Diagnostic Computed Tomography Thorax W/O Cntrst
Boston, MA
See all hospitals reporting CPT 71250 →Price type
Massachusetts General Hospital’s median price of $126 is 61% below the median hospital's median price ($323), higher than 16% 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: 8 payers, 15 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 hb amc hphc alliance ppo preferred b other · outpatient | $112.51 | $112.51 | $112.51 – $112.51 |
| 2 | Tricare hb mgh tricare other · both | $119.97 | $119.97 | $119.97 – $119.97 |
| 3 | Molina hb mgh molina other · both | $123.75 | $123.75 | $123.75 – $123.75 |
| 4 | UnitedHealthcare hb mgh united medicare replacement other · both | $123.75 | $123.75 | $123.75 – $123.75 |
| 5 | Blue Cross Blue Shield hb mgh medicare other · both | $126.27 | $126.27 | $126.27 – $126.27 |
| 6 | Humana hb mgh medicare other · both | $126.27 | $126.27 | $126.27 – $126.27 |
| 7 | Medicare hb mgh medicare other · both | $126.27 | $126.27 | $126.27 – $126.27 |
| 8 | Blue Cross Blue Shield hb amc blue cross hmo other · outpatient | $471.67 | $471.67 | $471.67 – $471.67 |
| 9 | Blue Cross Blue Shield hb amc blue cross ppo other · outpatient | $471.67 | $471.67 | $471.67 – $471.67 |
| 10 | Cigna hb amc tufts cigna carelink hybrid other · outpatient | $713.59 | $713.59 | $713.59 – $713.59 |
| 11 | UnitedHealthcare hb amc ch united new business discount percent of total billed charges · bothfrom % of charges | $728.33 | $728.33 | $728.33 – $728.33 |
| 12 | UnitedHealthcare hb amc united hmo / indemnity percent of total billed charges · outpatientfrom % of charges | $728.33 | $728.33 | $728.33 – $728.33 |
| 13 | UnitedHealthcare hb amc united ppo / pos percent of total billed charges · outpatientfrom % of charges | $728.33 | $728.33 | $728.33 – $728.33 |
| 14 | Blue Cross Blue Shield hb amc blue cross indemnity percent of total billed charges · outpatientfrom % of charges | $1,213 | $1,213 | $1,213 – $1,213 |
| 15 | Aetna hb amc aetna hmo percent of total billed charges · outpatientfrom % of charges | $1,524 | $1,524 | $1,524 – $1,524 |
Last updated: Mar 27, 2026
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