CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Page Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $141
  • Cash Discount Price: $765
  • vs. Medicare Baseline: 1.32x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Page Hospital is $141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $765. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.32x the Medicare baseline. Located in 501 North Navajo Drive, Page, AZ.
Cash / Self-Pay
$765

Average discount available for prompt cash payment at this facility.

Insurance Median
$141

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: $765 (716%)
Insurance Median: $141 (132%)
Cash: $765 (716% of Medicare)
Ins. Median: $141 (132% 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
Humana $50 - $858 47%
Plotkin Health $67 - $1,138 63%
Aetna $78 - $2,296 73%
Arizona Physicians Ipa $78 - $1,340 73%
Banner Health $78 - $1,340 73%
Banner University Health Plan $78 - $1,340 73%
Blue Cross Blue Shield $78 - $1,995 73%
Care 1St $78 - $1,340 73%
Cigna $78 - $2,329 73%
Gila River Health Care Corporation $78 - $1,340 73%
Health Choice Arizona, Inc. $78 - $1,631 73%
Health Net $78 - $1,984 73%
Kaiser Foundation Health Plan $78 - $1,340 73%
Mercy Care $78 - $1,340 73%
Triwest Healthcare Alliance Corp - Va Ccn $78 - $1,340 73%
Upmc Health Plan $78 - $1,340 73%
Wellpoint $78 - $1,340 73%
Carelon $82 - $1,407 77%
Arizona Priority Care $86 - $1,474 81%
Devoted Health Services $86 - $1,474 81%
Gold Kidney Health Plan $86 - $1,474 81%
Quiktrip Corporation $104 - $1,770 97%
Coconino County Sheriff'S Department $108 - $1,846 101%
Oscar Health Plan $129 - $2,212 121%
Provider Network Of America $133 - $2,276 125%
Arizona Medical Network $141 - $2,403 132%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $141 - $2,403 132%
UnitedHealthcare $1,340 - $1,391 1255%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 North Navajo Drive, Page, AZ 86040
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals