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
HCHG 71250 CT, THORAX, DIAGNOSTIC; W/O CONTRAST
Whitehall, WI
See all hospitals reporting CPT 71250 →Price type
Tri-County Memorial Hospital Inc’s median price of $817 is 153% above the median hospital's median price ($323), higher than 71% 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: 5 payers, 14 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 | Anthem medicaid facility · other · outpatient | $231.30 | $231.30 | $231.30 – $231.30 |
| 2 | Ucare dually eligible facility · percent of total billed charges · outpatientfrom % of charges | $719.68 | $719.68 | $719.68 – $719.68 |
| 3 | Ucare msho/minnesota special needs facility · percent of total billed charges · outpatientfrom % of charges | $719.68 | $719.68 | $719.68 – $719.68 |
| 4 | Ucare non-dually eligible facility · percent of total billed charges · outpatientfrom % of charges | $719.68 | $719.68 | $719.68 – $719.68 |
| 5 | Anthem medicare hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $816.56 | $816.56 | $816.56 – $816.56 |
| 6 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $816.56 | $816.56 | $816.56 – $816.56 |
| 7 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $816.56 | $816.56 | $816.56 – $816.56 |
| 8 | UnitedHealthcare all payer appendix facility · percent of total billed charges · outpatientfrom % of charges | $996.48 | $996.48 | $996.48 – $996.48 |
| 9 | Cigna all products facility · percent of total billed charges · outpatientfrom % of charges | $1,067 | $1,067 | $1,067 – $1,067 |
| 10 | Ucare qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $1,107 | $1,107 | $1,107 – $1,107 |
| 11 | Anthem state specific facility · other · outpatient | $2,092 | $2,092 | $2,092 – $2,092 |
| 12 | Anthem state specific facility · fee schedule · outpatient | $2,182 | $2,182 | $2,182 – $2,182 |
| 13 | Anthem hmo/pos facility · other · outpatient | $2,202 | $2,202 | $2,202 – $2,202 |
| 14 | Anthem ppo facility · other · outpatient | $2,570 | $2,570 | $2,570 – $2,570 |
Last updated: Jun 27, 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.