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
Dover, OH
See all hospitals reporting CPT 71250 →Price type
The Union Hospital Association’s median price of $132 is 59% below the median hospital's median price ($323), higher than 17% 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: 11 payers, 45 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 all products professional · other · outpatient | $1.65 | $1.65 | $1.65 – $1.65 |
| 2 | Aetna medicare advantage professional · fee schedule · outpatient | $76.34 | $83.31 | $48.62 – $124.96 |
| 3 | Anthem medicare advantage professional · fee schedule · outpatient | $76.34 | $83.31 | $48.62 – $124.96 |
| 4 | Cigna medicare advantage professional · fee schedule · outpatient | $76.34 | $83.31 | $48.62 – $124.96 |
| 5 | Humana medicare advantage hmo professional · fee schedule · outpatient | $76.34 | $83.31 | $48.62 – $124.96 |
| 6 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $76.34 | $83.31 | $48.62 – $124.96 |
| 7 | Anthem medicare advantage facility · fee schedule · outpatient | $98.26 | $98.26 | $98.26 – $98.26 |
| 8 | Humana medicare advantage hmo facility · fee schedule · outpatient | $98.26 | $98.26 | $98.26 – $98.26 |
| 9 | Optum all products va facility · fee schedule · outpatient | $98.26 | $98.26 | $98.26 – $98.26 |
| 10 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $98.26 | $98.26 | $98.26 – $98.26 |
| 11 | Aetna medicare advantage facility · fee schedule · outpatient | $98.91 | $98.91 | $98.91 – $98.91 |
| 12 | Devoted medicare advantage facility · fee schedule · outpatient | $98.91 | $98.91 | $98.91 – $98.91 |
| 13 | Cigna medicare advantage facility · fee schedule · outpatient | $101.88 | $101.88 | $101.88 – $101.88 |
| 14 | Aetna acop professional · fee schedule · outpatient | $114.62 | $114.62 | $114.62 – $114.62 |
| 15 | Anthem all products mid-level facility professional · fee schedule · outpatient | $109.38 | $119.00 | $69.11 – $178.52 |
| 16 | Anthem all products mid-level non-facility professional · fee schedule · outpatient | $109.38 | $119.00 | $69.11 – $178.52 |
| 17 | Molina managed medicaid professional · fee schedule · outpatient | $131.22 | $131.22 | $131.22 – $131.22 |
| 18 | Caresource managed medicaid professional · fee schedule · outpatient | $137.78 | $137.78 | $137.78 – $137.78 |
| 19 | UnitedHealthcare managed medicaid professional · fee schedule · outpatient | $140.41 | $140.41 | $140.41 – $140.41 |
| 20 | UnitedHealthcare all products - mid-level professional · fee schedule · outpatient | $138.24 | $150.72 | $87.84 – $226.08 |
| 21 | UnitedHealthcare all products professional · fee schedule · outpatient | $153.60 | $167.46 | $97.59 – $251.19 |
| 22 | UnitedHealthcare hmo & ppo professional · fee schedule · outpatient | $153.60 | $167.46 | $97.59 – $251.19 |
| 23 | Oscar all products professional · percent of total billed charges · outpatientfrom % of charges | $172.53 | $194.64 | $120.70 – $290.69 |
| 24 | Anthem managed medicaid facility · case rate · outpatient | $207.01 | $207.01 | $207.01 – $207.01 |
| 25 | Molina managed medicaid facility · case rate · outpatient | $207.01 | $207.01 | $207.01 – $207.01 |
Last updated: Jun 15, 2026
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