CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Arkansas Surgical Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $103
  • Cash Discount Price: $129
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Arkansas Surgical Hospital is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $129. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.96x the Medicare baseline. Located in 5201 North Shore Drive, No Little Rock, AR.
Cash / Self-Pay
$129

Average discount available for prompt cash payment at this facility.

Insurance Median
$103

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: $129 (121%)
Insurance Median: $103 (96%)
Cash: $129 (121% of Medicare)
Ins. Median: $103 (96% 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.

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
Aarp $98 92%
Aarp Supplemental $98 92%
Aetna $98 - $219 92%
Allianz Resolution Manage $98 92%
Allwell $98 92%
Americo $98 92%
Bankers Fidelity $98 92%
Bankers Life And Casualty $98 92%
Blue Cross Blue Shield $98 - $108 92%
Cigna $98 - $103 92%
Healthspring $98 92%
Hmo Medipak Adv $98 92%
Hmo Medipak Adv Plan $98 92%
Humana $98 92%
Medadvantage $98 92%
Medicare (plans) $98 92%
Medipak $98 92%
Medipak Advantage $98 92%
Railroad Retirement $98 92%
Sterling Option 1 $98 92%
Tricare $98 92%
UnitedHealthcare $98 - $252 92%
Vantage Health $98 92%
Vantage Health Plan Inc $98 92%
Vetern Choice Program $98 92%
Wellcare $98 92%
Wps Vapc3 $98 92%
Allegiance $103 96%
Allied Benefit System $103 96%
Apwu $103 96%
Apwu Health Plan $103 96%
Nalc $103 96%
Nalc Health Benefit Plan $103 96%
Nalc Medical Claims $103 96%
Priority Health $103 96%
Providence Health Plan $103 96%
S&S Healthcare Strategies $103 96%
Tufts Health Plan $103 96%
Blue Advantage $108 101%
Care First $108 101%
Health Advantage $108 101%
Premera $108 101%
True Blue $108 101%
True Blue Metallic $108 101%
Ambetter / Centene $137 128%
Qualchoice $146 137%
Qualchoice Adv Hmo $146 137%
Qualchoice Exchange $146 137%
Qualchoice Health Ins $146 137%
Medicade Arkansas $215 201%
Medicaid / KanCare $215 201%
American Continental Life $219 205%
All Savers $252 236%
All Savers Insurance $252 236%
Bind $252 236%
Freedom Life Ushealth $252 236%
Geha $252 236%
Golden Rule $252 236%
Golden Rule Ins $252 236%
Golden Rule Insurance $252 236%
Healthscope Benefits $252 236%
Medica $252 236%
Oxford $252 236%
Oxford Life $252 236%
Oxford Life Ins Company $252 236%
Oxford Life Insurance $252 236%
Oxford Life Insurance Co $252 236%
Surest $252 236%
United Healtcare Global $252 236%
United Hlth Shared Servic $252 236%
Ushealthgroup $252 236%
Municipal Health $800 749%
Municipal Health Benefit Fund $800 749%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5201 North Shore Drive, No Little Rock, AR 72118
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals