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 CHEST ABD PELVIS W/O IV (ORAL ONLY)
Charlevoix, MI
See all hospitals reporting CPT 71250 →Price type
Munson Healthcare Charlevoix Hospital’s median price of $834 is 158% above the median hospital's median price ($323), higher than 72% 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: 6 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 | UnitedHealthcare managed medicaid professional · fee schedule · both | $32.38 | $32.38 | $32.38 – $32.38 |
| 2 | Blue Cross Blue Shield managed medicaid professional · fee schedule · both | $33.03 | $33.03 | $33.03 – $33.03 |
| 3 | Blue Cross Blue Shield managed medicaid facility · fee schedule · outpatient | $73.78 | $73.78 | $73.78 – $73.78 |
| 4 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $73.78 | $73.78 | $73.78 – $73.78 |
| 5 | UnitedHealthcare medicare advantage professional · fee schedule · both | $74.64 | $81.97 | $48.32 – $122.96 |
| 6 | Aetna medicare advantage professional · fee schedule · both | $76.00 | $83.08 | $48.62 – $124.62 |
| 7 | Molina medicare advantage professional · fee schedule · both | $76.00 | $83.08 | $48.62 – $124.62 |
| 8 | Cigna commercial professional · fee schedule · both | $126.94 | $135.47 | $76.27 – $203.20 |
| 9 | Blue Cross Blue Shield ppo/traditional/hmo/blue care network commercial professional · fee schedule · both | $134.75 | $143.80 | $80.96 – $215.70 |
| 10 | UnitedHealthcare commercial professional · fee schedule · both | $162.49 | $162.49 | $62.65 – $262.33 |
| 11 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $490.21 | $490.21 | $490.21 – $490.21 |
| 12 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $500.01 | $500.01 | $500.01 – $500.01 |
| 13 | Molina medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $529.43 | $529.43 | $529.43 – $529.43 |
| 14 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $834.40 | $834.40 | $834.40 – $834.40 |
| 15 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $906.37 | $906.37 | $906.37 – $906.37 |
| 16 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $906.37 | $906.37 | $906.37 – $906.37 |
| 17 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $941.83 | $941.83 | $941.83 – $941.83 |
| 18 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $941.83 | $941.83 | $941.83 – $941.83 |
| 19 | Blue Cross Blue Shield ppo/traditional/hmo/blue care network commercial facility · percent of total billed charges · inpatientfrom % of charges | $963.42 | $963.42 | $963.42 – $963.42 |
| 20 | Blue Cross Blue Shield ppo/traditional/hmo/blue care network commercial facility · percent of total billed charges · outpatientfrom % of charges | $963.42 | $963.42 | $963.42 – $963.42 |
| 21 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,043 | $1,043 | $1,043 – $1,043 |
| 22 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,043 | $1,043 | $1,043 – $1,043 |
Last updated: Apr 17, 2026
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