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
Salem, MA
See all hospitals reporting CPT 71250 →Price type
Salem Hospital’s median price of $124 is 62% below the median hospital's median price ($323), higher than 15% 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: 7 payers, 12 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 | Tricare hb slm tricare other · both | $119.97 | $119.97 | $119.97 – $119.97 |
| 2 | UnitedHealthcare hb slm united medicare replacement other · both | $123.75 | $123.75 | $123.75 – $123.75 |
| 3 | Blue Cross Blue Shield hb slm medicare other · both | $126.27 | $126.27 | $126.27 – $126.27 |
| 4 | Humana hb slm medicare other · both | $126.27 | $126.27 | $126.27 – $126.27 |
| 5 | Medicare hb slm medicare other · both | $126.27 | $126.27 | $126.27 – $126.27 |
| 6 | Molina hb slm medicare other · both | $126.27 | $126.27 | $126.27 – $126.27 |
| 7 | Blue Cross Blue Shield hb ch blue cross hmo other · outpatient | $340.56 | $340.56 | $340.56 – $340.56 |
| 8 | Blue Cross Blue Shield hb ch blue cross ppo other · outpatient | $340.56 | $340.56 | $340.56 – $340.56 |
| 9 | UnitedHealthcare hb amc ch united new business discount percent of total billed charges · bothfrom % of charges | $694.10 | $694.10 | $694.10 – $694.10 |
| 10 | UnitedHealthcare hb ch united hmo / ppo / indemnity percent of total billed charges · outpatientfrom % of charges | $694.10 | $694.10 | $694.10 – $694.10 |
| 11 | Aetna hb ch aetna hmo / ppo percent of total billed charges · outpatientfrom % of charges | $1,077 | $1,077 | $1,077 – $1,077 |
| 12 | UnitedHealthcare hb ch united hmo / ppo / indemnity percent of total billed charges · inpatientfrom % of charges | $1,379 | $1,379 | $1,379 – $1,379 |
Last updated: Mar 27, 2026
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