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 W/O Contrast
Utica, NY
See all hospitals reporting CPT 71250 →Price type
MVHS, Inc.’s median price of $141 is 56% below the median hospital's median price ($323), higher than 21% 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: 12 payers, 38 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 uhc medicare advantage percent of total billed charges · inpatientfrom % of charges | $67.20 | $67.20 | $67.20 – $67.20 |
| 2 | Humana choicecare fee schedule · both | $86.89 | $86.89 | $48.09 – $125.68 |
| 3 | Humana humana medicare advantage fee schedule · both | $86.89 | $86.89 | $48.09 – $125.68 |
| 4 | Aetna aetna medicare advantage fee schedule · both | $87.69 | $87.69 | $48.22 – $127.15 |
| 5 | Medicare medicare fee schedule · both | $87.69 | $87.69 | $48.22 – $127.15 |
| 6 | WellCare wellcare fee schedule · both | $90.32 | $90.32 | $49.67 – $130.96 |
| 7 | Humana humana military percent of total billed charges · inpatientfrom % of charges | $115.20 | $115.20 | $115.20 – $115.20 |
| 8 | Tricare humana military percent of total billed charges · inpatientfrom % of charges | $115.20 | $115.20 | $115.20 – $115.20 |
| 9 | Humana humana military other · outpatient | $119.55 | $119.55 | $119.55 – $119.55 |
| 10 | Tricare humana military other · outpatient | $119.55 | $119.55 | $119.55 – $119.55 |
| 11 | Cigna mvp hmo/ppo fee schedule · both | $123.72 | $123.72 | $67.95 – $179.48 |
| 12 | Excellus excellus bcbs medicare advantage other · outpatient | $130.50 | $130.50 | $130.50 – $130.50 |
| 13 | Humana humana medicare advantage other · outpatient | $130.50 | $130.50 | $130.50 – $130.50 |
| 14 | Medicare medicare other · outpatient | $130.50 | $130.50 | $130.50 – $130.50 |
| 15 | Optum vaccn optum other · outpatient | $130.50 | $130.50 | $130.50 – $130.50 |
| 16 | UnitedHealthcare uhc medicare advantage other · outpatient | $131.81 | $131.81 | $131.81 – $131.81 |
| 17 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $132.79 | $132.79 | $73.58 – $192.00 |
| 18 | Aetna aetna medicare advantage other · outpatient | $133.11 | $133.11 | $133.11 – $133.11 |
| 19 | WellCare wellcare medicare advantage other · outpatient | $134.42 | $134.42 | $134.42 – $134.42 |
| 20 | Excellus excellus bcbs medicaid fee schedule · outpatient | $141.40 | $141.40 | $141.40 – $141.40 |
| 21 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $141.40 | $141.40 | $141.40 – $141.40 |
| 22 | Molina misc medicaid mco fee schedule · outpatient | $141.40 | $141.40 | $141.40 – $141.40 |
| 23 | UnitedHealthcare uhc essential plan fee schedule · outpatient | $141.40 | $141.40 | $141.40 – $141.40 |
| 24 | UnitedHealthcare uhc medicaid fee schedule · outpatient | $141.40 | $141.40 | $141.40 – $141.40 |
| 25 | WellCare hb mvhs wellcare medicaid fee schedule · outpatient | $141.40 | $141.40 | $141.40 – $141.40 |
Last updated: Aug 7, 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.