CPT71250

CT Chest Without Contrast Cost in South Dakota

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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South Dakota Medicare physician rate (2026)

-1.2% vs national

Single statewide locality.

South Dakota (Hospital)
$131.05
Facility physician fee
Private plan est.
$170–$262
~130–200% of Medicare
Cash / self-pay est.
$105–$197
~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.

Your ZIP in South Dakota

Try a ZIP lookup for your area, whether Sioux Falls, Rapid City and the Black Hills, Aberdeen, Pierre, or the reservation and ranch country in between.

What ct chest without contrast costs at hospitals near you

Everything above is a national average. The hospital you pick in South Dakota 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.

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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.

National vs South Dakota

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

Where South Dakota ranks for this CPT

Rank (lowest physician fee first)#27 of 51
Lowest stateArkansas ($118.05)
Highest stateAlaska ($155.27)

CT Chest Without Contrast and how South Dakota is priced

All of South Dakota falls under a single payment locality with indices near the bottom of the national scale, cushioned by the work index floor for low-cost states. Sioux Falls and a West River ranch community share one published fee schedule. The state's east-west split, with most people and providers east of the Missouri River, has no counterpart in the pricing structure. That leaves South Dakota with some of the simplest and lowest Medicare pricing in the country.

Sioux Falls has become a genuine regional medical hub, headquarters to large systems whose reach extends across the Dakotas and into neighboring states, while Rapid City anchors care for the West River side and the Black Hills. Vast stretches between them rely on critical access hospitals and tribal facilities, some of the most isolated care settings in America. Referrals to Sioux Falls, Rapid City, or out of state are a routine part of rural care.

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 South Dakota: questions

South Dakota is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 71250 is $131.05 in an office and $131.05 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. South Dakota uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

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

No. $131.05 is only the physician's share. Adding Medicare's facility payment brings the total to about $239 in a hospital outpatient department, or about $190 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. South Dakota ranks #27 of 51 states on the physician line (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.