CT scan, chest (no contrast)
Facility: Mary Hitchcock Memorial Hospital
Billing Code: 71250 (CPT)
A typical price — 3 charge more and 5 charge less, among the 9 NH hospitals compared.
Black dot = this hospital, among the 9 NH hospitals with a price for this procedure. Full list below.
A fair price for a CT scan, chest (no contrast) is about $166 (about 1.6× the $107 Medicare rate). Mary Hitchcock Memorial Hospital charges insurers about $183, or about $295 in cash — about the fair price. Located in Lebanon, NH.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $49 - $2,119 | 46% |
| Blue Cross Blue Shieldmajor | $49 - $2,792 | 46% |
| Aetnamajor | $51 - $2,400 | 48% |
| Cignamajor | $51 - $1,893 | 48% |
| Ambetter (Centene) | $52 - $256 | 49% |
| AmeriHealth | $14 - $313 | 13% |
| Harvard Pilgrim | $62 - $1,770 | 58% |
| MVP Health Care | $49 - $1,849 | 46% |
| Tufts Health Plan | $157 - $1,610 | 147% |
| WellCare | $51 - $124 | 48% |
| WellSense | $34 - $337 | 32% |
| + 7 smaller / regional plans | $14 - $2,621 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Mary Hitchcock Memorial Hospital
Compare: CT scan, chest (no contrast) at other NH hospitals
- New London Hospital · New London $85
- Wentworth-Douglass Hospital · Dover $114
- Cheshire Medical Center · Keene $128
- Elliot Hospital · Manchester $134
- Northeast Rehabilitation Hospital Network · Salem $143
- Alice Peck Day Memorial Hospital · Lebanon $362
- Catholic Medical Center · Manchester $420
- Portsmouth Regional Hospital · Portsmouth $421
Insurance negotiated median for the same procedure, sorted lowest first.