CPT71250

How Much Does a CT Chest Without Contrast Cost in Illinois?

Ct thorax dx c-

$156Hospital outpatient total2026 Medicare, physician + facility

Under 2026 Medicare rates, a CT chest without contrast costs up to about $156 in total at a hospital outpatient department, counting both the physician and the facility (national rates). Outside a hospital, at an independent imaging center, lab or office, Medicare's full rate in Illinois averages $132, from $126 in Rest of Illinois to $137 in Suburban Chicago.

Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers. For example 60001.
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Illinois Medicare physician rate (2026)

-0.7% vs national

Average of 4 localities. Office range $125.64–$137.22.

Illinois (Hospital)
$50.97
Physician reading only
Private plan est.
$171–$263
~130–200% of Medicare
Cash / self-pay est.
$105–$197
~80–150% of Medicare

What the whole procedure costs

The office rate above is what an imaging center, lab or office is paid for the whole test. In a hospital, the facility bills its own fee and the physician bills only the reading. These are 2026 national Medicare amounts.

Physician reading alone
$49
Only 32% of the hospital total

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. For a test like this the physician in a hospital bills only the reading (the professional component); outside a hospital one global fee covers the whole test, shown in the office rate above. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Illinois

Enter a ZIP code to see which Illinois locality applies to you, whether Chicago proper, the suburban collar counties, the Metro East near St. Louis, or downstate cities like Springfield, Peoria, and Champaign.

What CT chest without contrast costs at hospitals near you

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

Locked

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

For example 60001.

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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 center 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. In Illinois the office and hospital physician lines for this CPT differ by $80.67.

National vs Illinois

National office$132.60
National hospital (physician)$49.43
Illinois vs nationalwithin 2% of the national office rate of $132.60

Where Illinois ranks for this CPT

Rank (lowest physician fee first)#32 of 51
Lowest stateArkansas ($118.05)
Highest stateAlaska ($155.27)

CPT 71250 by Illinois locality

LocalityOffice
suburban chicago$137.22
chicago$136.35
east st. louis$127.36
rest of illinois$125.64

PE GPCI ranges from 0.913 to 1.027 in Illinois. That index is why the same CPT is not one price statewide.

CT Chest Without Contrast and how Illinois is priced

Illinois uses one of the more detailed locality maps in the Midwest: Chicago has its own locality, the suburban collar counties are priced separately, the East St. Louis area carries its own locality tied to the St. Louis market, and the rest of the state shares a fourth. Approved amounts step down noticeably from the city and suburbs to downstate, so the same procedure prices differently in Chicago, Naperville, Belleville, and Springfield. This four-way split makes Illinois one of the states where a ZIP-level check genuinely changes the answer. Downstate rates align more closely with neighboring rural states than with Chicagoland.

Chicago is one of the country's great medical hubs, with multiple academic medical centers and deep specialist supply, and its suburbs support large competing systems of their own. Downstate Illinois is a different market: smaller cities like Peoria, Springfield, and Champaign serve wide rural areas, and the Metro East suburbs orient toward St. Louis providers. Where you sit on that map shapes both price and choice.

This procedure: 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 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.

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 in Illinois: questions

Under 2026 Medicare rates, a CT chest without contrast costs up to about $156 in total at a hospital outpatient department, counting both the physician and the facility (national rates). Outside a hospital, at an independent imaging center, lab or office, Medicare's full rate in Illinois averages $132, from $126 in Rest of Illinois to $137 in Suburban Chicago. Enter a ZIP for the exact Illinois locality.

Yes. CMS splits Illinois into 4 payment localities. For this CPT the office physician fee spans $11.58 from the lowest to highest locality. Enter a ZIP code to see which Illinois locality applies to you, whether Chicago proper, the suburban collar counties, the Metro East near St. Louis, or downstate cities like Springfield, Peoria, and Champaign.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $26 for the office physician line or $10 for the hospital physician line in Illinois. Medigap may cover that 20%. This is not the hospital facility fee.

It depends on where the test is done. At an independent imaging center, lab or office, $131.64 is Medicare's full rate in Illinois, covering the test and the reading. In a hospital outpatient department the physician is paid only for the reading (about $50.97) and the hospital is paid separately, which brings the national total to up to about $156. Illinois ranks #32 of 51 states on the non-hospital rate (within 2% of the national office rate of $132.60).

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.