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 CT Thorax Diagnostic W/O Contrast
Dubuque, IA
See all hospitals reporting CPT 71250 →Price type
Mercy Medical Center - Dubuque’s median price of $240 is 26% below the median hospital's median price ($323), higher than 43% 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: 11 payers, 22 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 | Molina molina medicaid facility · other · both | $94.71 | $94.71 | $94.71 – $94.71 |
| 2 | Molina molina medicaid facility · other · outpatient | $94.71 | $94.71 | $94.71 – $94.71 |
| 3 | Aetna aetna medicare advantage facility · other · both | $101.85 | $101.85 | $101.85 – $101.85 |
| 4 | Aetna aetna medicare advantage facility · other · outpatient | $101.85 | $101.85 | $101.85 – $101.85 |
| 5 | Wellmark wellmark medicare advantage facility · other · both | $102.87 | $102.87 | $102.87 – $102.87 |
| 6 | Wellmark wellmark medicare advantage facility · other · outpatient | $102.87 | $102.87 | $102.87 – $102.87 |
| 7 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $103.88 | $103.88 | $103.88 – $103.88 |
| 8 | UnitedHealthcare united healthcare medicare advantage facility · other · outpatient | $103.88 | $103.88 | $103.88 – $103.88 |
| 9 | Oscar oscar facility · other · both | $141.78 | $141.78 | $141.78 – $141.78 |
| 10 | Oscar oscar facility · other · outpatient | $141.78 | $141.78 | $141.78 – $141.78 |
| 11 | Ambetter ambetter marketplace facility · other · both | $174.60 | $174.60 | $174.60 – $174.60 |
| 12 | Ambetter ambetter marketplace facility · other · outpatient | $174.60 | $174.60 | $174.60 – $174.60 |
| 13 | UnitedHealthcare united healthcare facility · fee schedule · both | $240.48 | $240.48 | $240.48 – $240.48 |
| 14 | UnitedHealthcare united healthcare facility · fee schedule · outpatient | $240.48 | $240.48 | $240.48 – $240.48 |
| 15 | UnitedHealthcare united healthcare deere premier facility · percent of total billed charges · bothfrom % of charges | $2,278 | $2,278 | $2,278 – $2,278 |
| 16 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $2,291 | $2,291 | $2,291 – $2,291 |
| 17 | First Health aetna facility · percent of total billed charges · bothfrom % of charges | $2,291 | $2,291 | $2,291 – $2,291 |
| 18 | Medical Mutual aetna facility · percent of total billed charges · bothfrom % of charges | $2,291 | $2,291 | $2,291 – $2,291 |
| 19 | Cigna midlands choice ppo facility · percent of total billed charges · bothfrom % of charges | $2,470 | $2,470 | $2,470 – $2,470 |
| 20 | Medica midlands choice ppo facility · percent of total billed charges · bothfrom % of charges | $2,470 | $2,470 | $2,470 – $2,470 |
| 21 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $2,470 | $2,470 | $2,470 – $2,470 |
| 22 | UnitedHealthcare uhc optum behavioral health facility · percent of total billed charges · bothfrom % of charges | $2,744 | $2,744 | $2,744 – $2,744 |
Last updated: Mar 31, 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.