CT scan of chest without contrast at OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CT Thorax W/O Contrast

Binghamton, NY

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Pricing by billing methodology

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How this price compares nationally

OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES’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.

Payers reporting CPT 71250 at OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES

Negotiated rates from the hospital’s own file: 6 payers, 19 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	Aetna medicare advantage facility · other · outpatient	$118.46	$118.46	$118.46 – $118.46
2	Blue Cross Blue Shield medicare advantage facility · other · outpatient	$118.46	$118.46	$118.46 – $118.46
3	Humana medicare advantage facility · other · outpatient	$118.46	$118.46	$118.46 – $118.46
4	Tricare medicare advantage facility · other · outpatient	$118.46	$118.46	$118.46 – $118.46
5	UnitedHealthcare medicare advantage facility · other · outpatient	$118.46	$118.46	$118.46 – $118.46
6	WellCare fidelis medicare advantage facility · other · outpatient	$118.46	$118.46	$118.46 – $118.46
7	WellCare managed medicaid facility · other · outpatient	$118.46	$118.46	$118.46 – $118.46
8	WellCare medicare advantage facility · other · outpatient	$118.46	$118.46	$118.46 – $118.46
9	UnitedHealthcare managed medicaid facility · fee schedule · both	$141.40	$141.40	$141.40 – $141.40
10	UnitedHealthcare managed medicaid facility · other · outpatient	$141.40	$141.40	$141.40 – $141.40
11	Blue Cross Blue Shield managed medicaid facility · fee schedule · both	$148.47	$148.47	$148.47 – $148.47
12	Blue Cross Blue Shield managed medicaid facility · fee schedule · outpatient	$148.47	$148.47	$148.47 – $148.47
13	Blue Cross Blue Shield excellus facility · fee schedule · both	$275.98	$275.98	$275.98 – $275.98
14	Blue Cross Blue Shield highmark facility · fee schedule · both	$275.98	$275.98	$275.98 – $275.98
15	Blue Cross Blue Shield highmark ppo facility · fee schedule · both	$275.98	$275.98	$275.98 – $275.98
16	Blue Cross Blue Shield excellus facility · fee schedule · outpatient	$294.71	$294.71	$294.71 – $294.71
17	Blue Cross Blue Shield highmark facility · fee schedule · outpatient	$294.71	$294.71	$294.71 – $294.71
18	Blue Cross Blue Shield highmark ppo facility · fee schedule · outpatient	$294.71	$294.71	$294.71 – $294.71
19	UnitedHealthcare student facility · case rate · outpatient	$1,483	$1,483	$1,483 – $1,483

Last updated: Mar 31, 2026

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