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
Ypsilanti, MI
See all hospitals reporting CPT 71250 →Price type
St Joseph Mercy Ann Arbor’s median price of $705 is 118% above the median hospital's median price ($323), higher than 67% 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: 20 payers, 29 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 | Blue Cross Blue Shield blue cross complete medicaid facility · other · both | $58.40 | $58.40 | $58.40 – $58.40 |
| 2 | Molina molina medicaid facility · other · both | $59.54 | $59.54 | $59.54 – $59.54 |
| 3 | Aetna aetna medicare advantage facility · other · both | $102.48 | $102.48 | $102.48 – $102.48 |
| 4 | Blue Cross Blue Shield bcbs medicare advantage facility · other · both | $102.48 | $102.48 | $102.48 – $102.48 |
| 5 | Molina molina medicare advantage facility · other · both | $102.48 | $102.48 | $102.48 – $102.48 |
| 6 | Aetna aetna ppo facility · fee schedule · both | $104.42 | $104.42 | $104.42 – $104.42 |
| 7 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $107.70 | $107.70 | $107.70 – $107.70 |
| 8 | Anthem bcbs trad / trust facility · fee schedule · both | $134.75 | $134.75 | $134.75 – $134.75 |
| 9 | Blue Cross Blue Shield bcbs mi local hmo facility · fee schedule · both | $134.75 | $134.75 | $134.75 – $134.75 |
| 10 | Blue Cross Blue Shield bcbs trad / trust facility · fee schedule · both | $134.75 | $134.75 | $134.75 – $134.75 |
| 11 | Carefirst bcbs trad / trust facility · fee schedule · both | $134.75 | $134.75 | $134.75 – $134.75 |
| 12 | Excellus bcbs trad / trust facility · fee schedule · both | $134.75 | $134.75 | $134.75 – $134.75 |
| 13 | Highmark bcbs trad / trust facility · fee schedule · both | $134.75 | $134.75 | $134.75 – $134.75 |
| 14 | Kaiser bcbs trad / trust facility · fee schedule · both | $134.75 | $134.75 | $134.75 – $134.75 |
| 15 | Premera bcbs trad / trust facility · fee schedule · both | $134.75 | $134.75 | $134.75 – $134.75 |
| 16 | Regence bcbs trad / trust facility · fee schedule · both | $134.75 | $134.75 | $134.75 – $134.75 |
| 17 | Wellmark bcbs trad / trust facility · fee schedule · both | $134.75 | $134.75 | $134.75 – $134.75 |
| 18 | Molina molina hmo marketplace facility · other · both | $135.94 | $135.94 | $135.94 – $135.94 |
| 19 | Caresource hap hmo facility · fee schedule · both | $354.52 | $354.52 | $354.52 – $354.52 |
| 20 | Aetna aetna dominos ppo facility · percent of total billed charges · bothfrom % of charges | $1,138 | $1,138 | $1,138 – $1,138 |
| 21 | UnitedHealthcare united healthcare ppo facility · percent of total billed charges · bothfrom % of charges | $1,780 | $1,780 | $1,780 – $1,780 |
| 22 | Humana cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $1,873 | $1,873 | $1,873 – $1,873 |
| 23 | Medcost cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $1,873 | $1,873 | $1,873 – $1,873 |
| 24 | Medical Mutual cofinity ppo facility · percent of total billed charges · bothfrom % of charges | $1,873 | $1,873 | $1,873 – $1,873 |
| 25 | MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges | $1,873 | $1,873 | $1,873 – $1,873 |
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.