How Much Does a CT Chest Without Contrast Cost in Missouri?
Ct thorax dx c-
$156Hospital outpatient total2026 Medicare, physician + facilityUnder 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 Missouri averages $125, from $119 in Rest of Missouri to $128 in Metropolitan St. Louis.
- ✓Your ZIP's wage-adjusted hospital and surgery center rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
Missouri Medicare physician rate (2026)
-5.9% vs nationalAverage of 3 localities. Office range $119.40–$128.04.
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.
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 Missouri
Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.
What CT chest without contrast costs at hospitals near you
Everything above is a national average. The hospital you pick in Missouri moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
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 Missouri the office and hospital physician lines for this CPT differ by $76.35.
National vs Missouri
Where Missouri ranks for this CPT
CPT 71250 by Missouri locality
| Locality | Office |
|---|---|
| metropolitan st. louis | $128.04 |
| metropolitan kansas city | $126.74 |
| rest of missouri | $119.40 |
PE GPCI ranges from 0.862 to 0.952 in Missouri. That index is why the same CPT is not one price statewide.
CT Chest Without Contrast and how Missouri is priced
Missouri is a three-locality state: metropolitan St. Louis and metropolitan Kansas City are each priced separately, and everywhere else falls into a rest-of-state locality with lower geographic adjustments. Both metro localities approve higher amounts than outstate Missouri, and the Kansas City locality applies only to the Missouri side of that metro, since the Kansas side prices under Kansas's statewide locality. Springfield, Columbia, and the rural counties all share rest-of-state factors. The metro-versus-outstate gap is the main pricing story here.
St. Louis and Kansas City hold the state's academic medical centers and most of its specialty depth, drawing patients from far beyond Missouri's borders, including southern Illinois and eastern Kansas. Outstate Missouri is served by regional hubs in Springfield, Columbia, and Cape Girardeau, with the Ozarks and Bootheel among the harder places to reach specialty care. Rural hospital viability has been a persistent concern across the state.
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?
Other featured procedures in Missouri
CT Chest Without Contrast in other states
CT Chest Without Contrast in Missouri: 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 Missouri averages $125, from $119 in Rest of Missouri to $128 in Metropolitan St. Louis. Enter a ZIP for the exact Missouri locality.
Yes. CMS splits Missouri into 3 payment localities. For this CPT the office physician fee spans $8.64 from the lowest to highest locality. Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $25 for the office physician line or $10 for the hospital physician line in Missouri. 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, $124.73 is Medicare's full rate in Missouri, covering the test and the reading. In a hospital outpatient department the physician is paid only for the reading (about $48.38) and the hospital is paid separately, which brings the national total to up to about $156. Missouri ranks #15 of 51 states on the non-hospital rate (6% below the national office rate of $132.60).