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 COMPUTED TOMOGRAPHY THORAX DIAGNOSTIC WITHOU
Philadelphia, PA
See all hospitals reporting CPT 71250 →Price type
The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania’s median price of $304 is 6% below the median hospital's median price ($323), higher than 49% 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: 16 payers, 40 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 | Kaiser kaiser transplant medicaid facility · fee schedule · outpatient | $87.26 | $87.26 | $87.26 – $87.26 |
| 2 | Optum optum urn-transplant managed medicaid facility · other · outpatient | $96.70 | $96.70 | $96.70 – $96.70 |
| 3 | Bcbs Nj horizon blue cross of nj-medicare hmo facility · other · outpatient | $109.89 | $109.89 | $109.89 – $109.89 |
| 4 | Kaiser kaiser transplant medicare facility · fee schedule · outpatient | $109.89 | $109.89 | $109.89 – $109.89 |
| 5 | Medicare medicare facility · fee schedule · outpatient | $109.89 | $109.89 | $109.89 – $109.89 |
| 6 | Optum optum urn-transplant managed medicare facility · other · outpatient | $109.89 | $109.89 | $109.89 – $109.89 |
| 7 | Tricare tricare facility · fee schedule · outpatient | $109.89 | $109.89 | $109.89 – $109.89 |
| 8 | Highmark highmark medicare advantage facility · other · outpatient | $112.09 | $112.09 | $112.09 – $112.09 |
| 9 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $113.19 | $113.19 | $113.19 – $113.19 |
| 10 | Humana humana medicare facility · other · outpatient | $113.19 | $113.19 | $113.19 – $113.19 |
| 11 | Devoted devoted health medicare advantage facility · other · outpatient | $115.38 | $115.38 | $115.38 – $115.38 |
| 12 | Aetna aetna medicare hmo facility · fee schedule · outpatient | $116.48 | $116.48 | $116.48 – $116.48 |
| 13 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · outpatient | $116.48 | $116.48 | $116.48 – $116.48 |
| 14 | Clover clover health plan facility · other · outpatient | $118.68 | $118.68 | $118.68 – $118.68 |
| 15 | UnitedHealthcare unitedhealthcare community (fka americhoice ma) facility · fee schedule · outpatient | $163.71 | $163.71 | $163.71 – $163.71 |
| 16 | Oscar oscar health plan facility · other · outpatient | $186.81 | $186.81 | $186.81 – $186.81 |
| 17 | Highmark highmark facility · other · outpatient | $231.09 | $231.09 | $231.09 – $231.09 |
| 18 | Cigna cigna new business facility · fee schedule · outpatient | $233.06 | $233.06 | $233.06 – $233.06 |
| 19 | Cigna cigna facility · fee schedule · outpatient | $240.06 | $240.06 | $240.06 – $240.06 |
| 20 | Blue Cross Blue Shield keystone health plan east-ibc hmo facility · fee schedule · outpatient | $304.37 | $304.37 | $304.37 – $304.37 |
| 21 | Optum optum urn-cancer resource services facility · other · outpatient | $475.93 | $475.93 | $402.40 – $549.45 |
| 22 | Optum optum urn-transplant commercial facility · other · outpatient | $475.93 | $475.93 | $402.40 – $549.45 |
| 23 | Blue Cross Blue Shield personal choice-ibc ppo facility · fee schedule · outpatient | $552.13 | $552.13 | $503.00 – $601.26 |
| 24 | Aetna aetna commercial facility · fee schedule · outpatient | $618.41 | $618.41 | $618.41 – $618.41 |
| 25 | Bcbs Nj horizon blue cross of nj-hmo pos and direct access facility · other · outpatient | $742.43 | $742.43 | $503.00 – $981.86 |
Last updated: Feb 10, 2026
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