CMS Price Transparency Data
CT scan, chest (no contrast)
Facility: Upper Connecticut Valley Hospital
Billing Code: 71250 (CPT)
The BaseRate · fair price low confidence
A fair price for this
$571
about 5.3× the $107 Medicare rate · typically $126–$1,147
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $571 Cash price $1,296 Hospital's list price $2,336
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente
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 | $1,332 | 1247% |
| Blue Cross Blue Shieldmajor | $1,299 - $1,972 | 1216% |
| Aetnamajor | $1,285 | 1203% |
| Harvard Pilgrim | $1,597 | 1495% |
Self-Pay How to get the cash price
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Other Procedures at Upper Connecticut Valley 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
- Mary Hitchcock Memorial Hospital · Lebanon $183
- Alice Peck Day Memorial Hospital · Lebanon $362
- Catholic Medical Center · Manchester $420
Insurance negotiated median for the same procedure, sorted lowest first.