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 SCAN, THORAX, DX, W/O CONTRAST
Breaux Bridge, LA
See all hospitals reporting CPT 71250 →Price type
St Martin Hospital Inc’s median price of $427 is 32% above the median hospital's median price ($323), higher than 56% 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: 10 payers, 13 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 all payor fee schedule · outpatient | $223.39 | $223.39 | $223.39 – $223.39 |
| 2 | Aetna all payor other · outpatient | $372.68 | $372.68 | $372.68 – $372.68 |
| 3 | Bcbs La all payor other · outpatient | $372.68 | $372.68 | $372.68 – $372.68 |
| 4 | Optum all payor other · outpatient | $372.68 | $372.68 | $372.68 – $372.68 |
| 5 | WellCare all payor other · outpatient | $372.68 | $372.68 | $372.68 – $372.68 |
| 6 | Tricare all payor percent of total billed charges · outpatientfrom % of charges | $432.18 | $432.18 | $432.18 – $432.18 |
| 7 | Bcbs La all payor fee schedule · outpatient | $440.96 | $440.96 | $422.58 – $459.33 |
| 8 | Humana all payor other · outpatient | $493.38 | $493.38 | $372.68 – $614.08 |
| 9 | UnitedHealthcare all payor other · outpatient | $493.38 | $493.38 | $372.68 – $614.08 |
| 10 | Aetna Better Health all payor other · outpatient | $614.08 | $614.08 | $614.08 – $614.08 |
| 11 | Amerihealth Caritas all payor other · outpatient | $614.08 | $614.08 | $614.08 – $614.08 |
| 12 | Cigna all payor other · outpatient | $1,440 | $1,440 | $1,440 – $1,440 |
| 13 | Aetna all payor percent of total billed charges · outpatientfrom % of charges | $1,542 | $1,542 | $1,542 – $1,542 |
Last updated: Apr 1, 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.