CPT71250

CT Chest Without Contrast Cost

Ct thorax dx c-

$239Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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National Medicare physician rate (2026)

Medicare (Hospital)
$132.60
Facility physician fee
Private plan est.
$172–$265
~130–200% of Medicare
Cash / self-pay est.
$106–$199
~80–150% of Medicare

What the whole procedure costs

The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.

Surgery centre, total
$190
$133 physician + $57 facility
Physician fee alone
$133
Only 55% of the hospital total

Choosing a surgery centre over a hospital saves about $50 on the Medicare allowed amount for ct chest without contrast. Ask whether your procedure can be done at an ambulatory surgery centre.

Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Get the rate for your ZIP

CMS adjusts this CPT by locality. A five-digit ZIP is enough — no account, no insurance card.

What ct chest without contrast costs at hospitals near you

Everything above is a national average. The hospital you pick in your area moves the bill more than anything else you control.

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Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.

How CMS prices CPT 71250

CMS descriptionCt thorax dx c-
Work RVU1.05
Practice expense RVU (office)2.85
Practice expense RVU (hospital)2.85
Malpractice RVU0.07
Conversion factor$33.4009

Work is about 26% of the office total RVU; practice expense is about 72%. Localities with a high PE GPCI move this code more when practice expense is a large share.

Office vs hospital for this code

Office (non-facility) physician rate: $132.60. Hospital (facility) physician rate: $132.60.

Medicare patients typically owe 20% of the allowed amount after the Part B deductible — about $27 for the office physician fee, before any Medigap coverage. That coinsurance does not include a hospital facility fee.

Labeled private-plan and cash ranges on this page are arithmetic multiples of Medicare, not negotiated quotes. Ask the billing office for the CPT code, the site of service, and a good-faith estimate.

What Is CT Chest Without Contrast?

A chest CT without contrast takes cross-sectional X-ray images of the lungs and chest in a scan that lasts under a minute on the table, with the whole appointment done in 15 minutes. It sees far more detail than a chest X-ray and is ordered to evaluate lung nodules, unexplained cough, abnormal X-ray findings, or interstitial lung disease. You lie on a table that slides through a doughnut-shaped scanner and hold your breath briefly; no IV is needed for this non-contrast version.

What Affects the Cost

  • Freestanding imaging centers routinely price this scan at a fraction of hospital outpatient rates.
  • The radiologist's professional reading fee is billed separately from the scan at many facilities.
  • Lung nodules found on a first scan typically trigger a series of follow-up CTs over one to two years, multiplying the true cost of the finding.
  • Low-dose CT for lung cancer screening is a different code with different, usually free, coverage; make sure the right one is ordered if screening is the goal.
  • Emergency department chest CTs carry ER-level facility charges far above scheduled outpatient pricing.

How It Is Billed

CPT 71250 covers the non-contrast scan; adding IV dye changes the code to 71260 and adds a contrast supply charge. Technical and professional components are billed separately at hospitals and usually globally at independent centers. Note that annual lung cancer screening for eligible smokers uses a distinct low-dose code (71271) with its own preventive billing rules, so a diagnostic 71250 claim for what was meant as screening can cost you money unnecessarily.

Insurance & Coverage Notes

Commercial insurers generally require prior authorization for chest CT through their radiology benefit programs, while Medicare does not and applies standard Part B coinsurance. If you qualify for lung cancer screening by age and smoking history, that specific low-dose screening CT is covered with no cost sharing as preventive care; a diagnostic chest CT for symptoms never is. Follow-up nodule scans are diagnostic each time, so plan for repeated cost sharing across the surveillance schedule.

Questions to Ask Before Booking

  • 1.Is this being ordered as a diagnostic CT or as low-dose lung cancer screening, and am I eligible for the free screening version?
  • 2.Has prior authorization been obtained for the facility where I am scheduled?
  • 3.What does this scan cost at a freestanding center versus the hospital?
  • 4.If a nodule is found, how many follow-up scans should I budget for?
  • 5.Is the radiologist fee included in the price I was quoted?

CT Chest Without Contrast (CPT 71250): questions

The 2026 national Medicare physician rate for CPT 71250 is $132.60 in an office and $132.60 in a hospital. Enter a ZIP code to apply the geographic adjustment for your locality.

For CPT 71250 the office and hospital physician rates are essentially the same ($132.60). The hospital will still usually add a separate facility fee that this page does not show.

A chest CT without contrast takes cross-sectional X-ray images of the lungs and chest in a scan that lasts under a minute on the table, with the whole appointment done in 15 minutes. It sees far more detail than a chest X-ray and is ordered to evaluate lung nodules, unexplained cough, abnormal X-ray findings, or interstitial lung disease. You lie on a table that slides through a doughnut-shaped scanner and hold your breath briefly; no IV is needed for this non-contrast version. CMS bills it as “Ct thorax dx c-.”

Not on its own. $132.60 is the physician allowed amount. Medicare also pays the facility, which takes the total to about $239 in a hospital outpatient department or about $190 at an ambulatory surgery centre. Anesthesia, pathology and imaging interpretation billed under other codes are separate again. Private-plan allowed amounts are often higher than Medicare; your deductible and coinsurance still apply.

For cash-pay surgery shopping, use this CPT as the Medicare floor when you compare written quotes. How cash-price shopping works.

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.