CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Gadsden Regional Medical Center

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $2,626
  • Cash Discount Price: $1,377
  • vs. Medicare Baseline: 24.59x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Gadsden Regional Medical Center is $2,626. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,377. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 24.59x the Medicare baseline. Located in 1007 Goodyear Avenue, Gadsden, AL.
Cash / Self-Pay
$1,377

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,626

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,377 (1289%)
Insurance Median: $2,626 (2459%)
Cash: $1,377 (1289% of Medicare)
Ins. Median: $2,626 (2459% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 2459% of the Medicare baseline (a markup of 2359%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Tricare $91 85%
Blue Cross Blue Shield $92 86%
Humana $92 86%
Medicare (plans) $92 86%
Node Viva Mcr Adv $92 86%
Veterans Eval Services $92 86%
Node Select Health Mcr Adv $93 87%
Amedisys Hospice $94 88%
Cigna $94 - $555 88%
Gadsden Hospice $94 88%
Node Devoted Health Mcr Adv $94 88%
Node Non Par Hospice Agree $94 88%
Node Va $94 88%
Southern Care Hospice $94 88%
UnitedHealthcare $94 - $224 88%
Aetna $95 - $5,202 89%
Node Clover Health Mcr Adv $95 89%
Node Champva $96 90%
Node Wellcare Mcr Adv $96 90%
Node Eon Mcr Adv $97 91%
Prime Health $99 - $7,255 93%
Node Us Dept Of Labor $117 110%
Ambetter / Centene $141 132%
Medicaid / KanCare $202 189%
Honda Wc $250 234%
Self Pay $1,033 - $1,808 967%
Beech Street $1,525 - $7,330 1428%
American Employee Alliance $3,444 - $4,017 3224%
Multiplan $4,821 - $6,326 4514%
Magellan Behavioral $5,166 - $6,025 4837%
Viva Healthcare $5,166 - $6,025 4837%
First Health $6,027 - $8,109 5643%
Alamed Wc $6,457 - $7,531 6045%
Focus Health $6,586 - $7,682 6166%
Coventry Work Comp Al $6,732 - $7,853 6303%
Work Comp $7,318 - $8,535 6851%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1007 Goodyear Avenue, Gadsden, AL 35903
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals